Kathryn Jeannine Smoltino
Technician/Technologist, Optician in Leesville, SC. Individual provider (NPI-1).
NPI number1558097428
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1558097428
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Jeannine Smoltino
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2022
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 1063 | SC | Yes |
Practice location
115 E Church StLeesville, SC 29070-7595
Phone 803-532-5339
Mailing address
115 E Church StLeesville, SC 29070-7595
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