Individual
MS. KALENA YOLANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12219 HIGHWAY 503, DECATUR, MS 39327-8915
(404) 416-2529
Mailing address
12219 HIGHWAY 503, DECATUR, MS 39327-8915
(404) 416-2529
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330890
MS
Other
Enumeration date
05/15/2017
Last updated
07/18/2023
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