Doretha Jones Smith
Individual provider Active NPI Driver · Kenbridge, VA
NPI 1003501701 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1003501701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- T69510507 (VA)
- Practice address
- 10291 Plank Rd
Kenbridge, VA 23944-4011 - Phone
- (434) 312-1484
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T69510507 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T69510507 | VA | Yes |
Addresses
Primary practice location
10291 Plank Rd
Kenbridge, VA 23944-4011
Mailing address
10291 Plank Rd
Kenbridge, VA 23944-4011
Phone (434) 312-1484
Other providers in Kenbridge, VA
- Nocturnal Science and Sound Temple
- Patience Transportation LLC
- Rebecca Reitz
- Riccobene & Associates CC, DDS, PC
- Sandy Seward
- Smiths Pharmacy & Home Health Care Center of Kenbridge Inc
- Southside Medical Management
- Southside Medical Management Inc
- Three Rivers Treatment Center LLC
- William Irby Jr DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.