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NPI 1366909301

IndividualActive

Katina Smith

NPI 1366909301 · Driver · Hayneville, AL

Provider details

NPI number: 1366909301
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: No
License: 6350020 (AL)

Practice location

179 Race Track Ln

Hayneville, AL 36040-2045

Phone: (334) 300-4176

More AL providers

Mailing address

179 Race Track Ln

Hayneville, AL 36040-2045

Registry dates

Enumerated: 2019-02-26
Last updated: 2019-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Katina Smith — NPI 1366909301, Hayneville, AL | NPI Central