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NPI Code Detail

MEDICARE: KEAIRA DEVON SMITH

MEDICARE: KEAIRA DEVON SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator10-099-0731CO

General Provider Information

NPI Number : 1275484404
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEAIRA DEVON SMITH
Provider Business Mailing Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1290 S POTOMAC ST
Second Line :
City : AURORA
State : CO
Zip : 80012-4524
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ KEAIRA DEVON SMITH ” Practice Location

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