Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keiloni Marie Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114541554

Keiloni Marie Smith is a Student in an Organized Health Care Education/Training Program in Azusa, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

901 E Alosta Ave
Azusa, CA 91702-2701
Phone: (626) 969-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence Y4201286 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence Y4201286 (CA)

Record details

NPI number1114541554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address273 W Arrow Hwy Apt 80, Azusa, CA 91702-5469

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