Individual
MISS KRISTEN DIONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4505 HEATHROW CT NW, KENNESAW, GA 30152-7750
(678) 983-9402
Mailing address
4505 HEATHROW CT NW, KENNESAW, GA 30152-7750
(678) 983-9402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN185395
GA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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