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Search › Louisiana › 101YA0400X

Kelvin Smith, CIT

NPI 1841853306 · on the registry since 2019 · sole proprietor

Practice

Address
21089 South Frontage Road
Lacassine, LA 70650
Phone
(337) 936-9197
Fax
(337) 588-4179
Organisation at this address
Genesis Life Llc
Sanctuary Louisiana Llc
Sanctuary Louisiana, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana