Individual
KYSHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 DOWNING LN, WILMINGTON, DE 19804-3612
(484) 682-3713
Mailing address
2214 DOWNING LN, WILMINGTON, DE 19804-3612
(484) 682-3713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN659314
PA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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