Male or Other

Mr. Keith A. Smith

Developmental Therapist in Raleigh, NC(View on Map)

Full Name

Mr. Keith Altarik Smith

NPI Number

1356799886

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/25/2016

Specialties

(Taxonomies)

Code

222Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

500 FAIRWAY DR
421 FAYETTEVILLE ST

City

Deerfield Beach
Raleigh

State

FL
NC

Postal Code

33441-1814
27601-1792

Country

US
US

Telephone Number

(888) 880-9270
(888) 880-9270

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/25/2016

Provider Address

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