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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952612871 | NPPES |
| South Carolina | MEDICAID | PD6229 |
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