Individual
KALICE SMITH-MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1521 NOE BIXBY RD, COLUMBUS, OH 43232-1580
(614) 657-5995
(614) 501-9491
Mailing address
1521 NOE BIXBY RD, COLUMBUS, OH 43232-1580
(614) 657-5995
(614) 501-9491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
378815
OH
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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