Individual
KITWAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 POLARIS PKWY APT 316, COLUMBUS, OH 43240-2406
(614) 886-1501
Mailing address
801 POLARIS PKWY APT 316, COLUMBUS, OH 43240-2406
(614) 886-1501
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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