Individual
KENYA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, CES
Contact information
Practice address
1901 MOONEY ST, WINSTON SALEM, NC 27103-3032
(336) 716-9253
Mailing address
11000 SMITH CROSSING DR APT 11307, KERNERSVILLE, NC 27284-0184
(336) 604-3062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
12/16/2020
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