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NPI Code Detail

MEDICARE: SHAKEENNA SMITH

MEDICARE:   SHAKEENNA  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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1457902207
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAKEENNA SMITH
Provider Business Mailing Address
First Line : 172 IDO AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-2046
Country : US
Telephone Number : 330-724-7828
Fax Number :
Provider Business Practice Location Address
First Line : 172 IDO AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-2046
Country : US
Telephone Number : 330-724-7828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2019
Last Update Date : 02/04/2026

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Directions to “ SHAKEENNA SMITH ” Practice Location

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