Individual
MRS. KEISHA KAMILE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
Mailing address
2800 BLUE RIDGE RD STE 400, RALEIGH, NC 27607-6477
(919) 787-5380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012943
NC
Other
Enumeration date
12/13/2013
Last updated
04/19/2021
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