Individual
LEE KASIM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10625 NSH, CAMPUS BOX #7160, CHAPEL HILL, NC 27599-7160
(984) 974-2194
Mailing address
29 TEAL DR, ELIZABETHTOWN, KY 42701-8501
(270) 872-9338
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
219207
NC
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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