NPI 1366909301

Katina Smith

Practitioner Driver Hayneville, AL

Practice location

Address: 179 Race Track Ln, Hayneville, AL 36040-2045
Phone: (334) 300-4176

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 6350020 (AL)

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Registry record

NPI: 1366909301
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2019
Record last updated: 26 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.