Individual
KENNYSHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 SHADY GLEN DR, DISTRICT HEIGHTS, MD 20747-1714
(301) 693-0015
Mailing address
1426 SHADY GLEN DR, DISTRICT HEIGHTS, MD 20747-1714
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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