Kristen Smith

Individual provider Active NPI Registered Nurse · Crane Hill, AL

NPI 1669285995 · NPPES record last updated Jan 30, 2025

Key facts

NPI
1669285995
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1-155579 (AL)
Practice address
342 County Road 174
Crane Hill, AL 35053-2033
Phone
(205) 365-1716
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-155579ALMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-155579 AL Yes

Addresses

Primary practice location

342 County Road 174
Crane Hill, AL 35053-2033

Mailing address

342 County Road 174
Crane Hill, AL 35053-2033
Phone (205) 365-1716

Other providers in Crane Hill, AL

All providers in Crane Hill, AL · Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.