Individual
KERRI A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
Mailing address
11155 DUNN RD STE 309, SAINT LOUIS, MO 63136-6150
(314) 953-8799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.024237
IL
363LA2200X
Adult Health Nurse Practitioner
2016003059
MO
Other
Enumeration date
02/22/2016
Last updated
05/04/2022
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