Individual
KELVIN RUSSELL SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
433 WEST CENTRAL AVE, SUITE B, JAMESTOWN, TN 38556-3855
(931) 879-4066
(931) 879-4071
Mailing address
530 INDUSTRIAL LN, ONEIDA, TN 37841-6311
(423) 569-3443
(423) 569-2616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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