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NPI Profile for KANITA SMITH in TEXARKANA, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1689216566 |
|
| Status | Active | |
| Credentials | AGNP-C | |
| Entity | Individual | |
| Enumeration date | 10/12/2019 | |
| Last updated | 12/30/2020 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KANITA SMITH
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KANITA SMITH, AGNP-C