Individual
MANDY RACHELLE SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2327 NE SMOKEY HILL DR, LEES SUMMIT, MO 64086-7019
(816) 246-2047
(816) 246-2047
Mailing address
2327 NE SMOKEY HILL DR, LEES SUMMIT, MO 64086-7019
(816) 246-2047
(816) 246-2047
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
131015
MO
163WC0400X
Case Management Registered Nurse
14-86320-101
KS
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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