Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SUNSET DR, KENOVA, WV 25530-9507
(304) 360-5442
Mailing address
16 SUNSET DR, KENOVA, WV 25530-9507
(304) 360-5442
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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