Most Relevant Information
Provider Data
| NPI Number: | 1003546748 |
| Provider Name: | KISSHA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
7373 BROOKCREST DR STE 333
CINCINNATI
OH
452373442
Practice Location Phone/Fax
| Phone: | 5138025642 |
| Fax: |
Provider Mailing Location
7373 BROOKCREST DR STE 333
CINCINNATI
OH
452373442
Provider Mailing Phone/Fax
| Phone: | 5138025642 |
| Fax: |