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Individual

KEITHA RENEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 MURRELL STREET, SUITE 3, MINDEN, LA 71055
(318) 382-4777
(318) 382-4070
Mailing address
101 MURRELL STREET, SUITE 3, MINDEN, LA 71055
(318) 382-4777
(318) 382-4070

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
205133
LA

Other

Enumeration date
07/03/2006
Last updated
02/23/2012
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