Individual
KELSEY DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
717 OLD TROLLEY RD STE 3, SUMMERVILLE, SC 29485-5287
(843) 873-1889
Mailing address
24 SATO STREET, WHITBY, ONTARIO L1R2E-6
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2361
SC
152W00000X
Optometrist
OPT.0003591
CO
Other
Enumeration date
06/03/2020
Last updated
08/02/2022
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