Individual
KAYCIANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 11TH ST, NIAGARA FALLS, NY 14301-1201
(716) 282-1228
Mailing address
800 MAIN ST STE 2A, NIAGARA FALLS, NY 14301-1156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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