Individual
KOURTNEY DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
6189 ROSALIND RD, HUNTINGTON, WV 25705-2324
(304) 948-5004
Mailing address
6189 ROSALIND RD, HUNTINGTON, WV 25705-2324
(304) 948-5004
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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