Individual
ASHLEY M KIRINCICH-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 409-7170
(803) 409-7175
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
210693
SC
363L00000X
Nurse Practitioner
Primary
24405
SC
363LA2200X
Adult Health Nurse Practitioner
24405
SC
363LG0600X
Gerontology Nurse Practitioner
24405
SC
363LP2300X
Primary Care Nurse Practitioner
24405
SC
Other
Enumeration date
05/16/2014
Last updated
09/02/2021
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