Individual
CARRIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 POPLAR ST, KENOVA, WV 25530-1530
(304) 453-4992
(304) 453-5574
Mailing address
820 POPLAR ST, KENOVA, WV 25530-1530
(304) 453-4992
(304) 453-5574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1177305
KY
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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