Kelly Hyatt Smith, RN
Registered Nurse, School in Latta, SC. Individual provider (NPI-1).
NPI number1295074151
StatusActive
Last updated in NPPESFeb 12, 2013
Details
- NPI
- 1295074151
- Entity type
- Individual (NPI-1)
- Name
- Kelly Hyatt Smith
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2013
- Last updated
- Feb 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 100307 | SC | Yes |
Practice location
134 Latimer StLatta, SC 29565-1828
Phone 843-752-2711 · Fax 843-752-2002
Mailing address
134 Latimer StLatta, SC 29565-1828
Phone 843-752-2711 · Fax 843-752-2002
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