Healthcare Provider Details

I. General information

NPI: 1679496780
Provider Name (Legal Business Name): KAYLAH SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 M ST NE APT 1335
WASHINGTON DC
20002-9031
US

IV. Provider business mailing address

35 PARKER ROW SW APT 1072
WASHINGTON DC
20024-2980
US

V. Phone/Fax

Practice location:
  • Phone: 202-946-6571
  • Fax:
Mailing address:
  • Phone: 771-216-6804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: