Individual
MRS. KELLY D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
801 NW SAINT MARY DR, STE 220, BLUE SPRINGS, MO 64014-2524
(816) 220-3900
(816) 220-0877
Mailing address
801 NW SAINT MARY DR, STE 220, BLUE SPRINGS, MO 64014-2524
(816) 220-3900
(816) 220-0877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26739012
BCBS KC
MO
05
—
578907909
—
MO
Enumeration date
08/05/2006
Last updated
07/08/2007
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