Smith, Keyoka Sheree

Smith, Keyoka Sheree is an individual health care provider with primary practice located at 4100 N Main St Ste 202 , Columbia SC 29203-5800. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Smith, Keyoka Sheree can be contacted via phone (803) 570-2209.

Contact Information

Primary practice address
4100 N Main St Ste 202 Columbia SC 29203-5800
Phone: (803) 570-2209
Fax: (888) 866-4740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001211 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 65 006369 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 622 South Carolina

Profile Details

NPI number 1952612871
LBN Legal business name Smith, Keyoka Sheree
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Sep 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952612871 NPPES
South Carolina MEDICAID PD6229

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