Individual
MR. KEVIN BRUCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1535 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
(816) 347-3200
Mailing address
1201 NE MOSS POINT RD, LEES SUMMIT, MO 64064-2427
(816) 812-5380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
03149
KS
106H00000X
Marriage & Family Therapist
Primary
2021016991
MO
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
03/13/2026
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