Individual
JENNA MCKUIN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 JONES ST, KENNETT, MO 63857-3824
(573) 359-2600
Mailing address
805 CENTRAL ST, KENNETT, MO 63857-3305
(573) 359-2600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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