NPI 1881052439

Kevin Smith

Practitioner Driver Winston Salem, NC

Practice location

Address: 450 W Hanes Mill Rd 201, Winston Salem, NC 27105-9141
Phone: (336) 747-3479
Mailing address: 301 S Oakland Ave STE 6444, Statesville, NC 28687-0837

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 27780134 (NC)

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Registry record

NPI: 1881052439
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2016
Record last updated: 10 Feb 2016

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.