Individual
GINGER L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
211 TEACO RD, KENNETT, MO 63857-3236
(573) 888-0001
(573) 888-0006
Mailing address
211 TEACO RD, KENNETT, MO 63857-3236
(573) 888-0001
(573) 888-0006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016025003
MO
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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