Individual
KENYONA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1760 OLD NORCROSS RD STE T, LAWRENCEVILLE, GA 30044-2931
(404) 532-8613
Mailing address
1760 OLD NORCROSS RD STE T, LAWRENCEVILLE, GA 30044-2931
(404) 532-8613
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014217708
GA
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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