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NPI Code Detail

MEDICARE: KAVIONE SMITH

MEDICARE: KAVIONE 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
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1497692644
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVIONE SMITH
Provider Business Mailing Address
First Line : 421 JOHNSON ST
Second Line :
City : GARNER
State : NC
Zip : 27529-3071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 984-389-5818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ KAVIONE SMITH ” Practice Location

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