Individual
KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 W 13 MILE RD, APT 7, MADISON HEIGHTS, MI 48071-2084
(313) 318-1234
Mailing address
1851 W 13 MILE RD, APT 7, MADISON HEIGHTS, MI 48071-2084
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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