Individual
SUSIE LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 STATE HIGHWAY VV, KENNETT, MO 63857
(573) 559-2430
Mailing address
935 STATE HIGHWAY VV, KENNETT, MO 63857
(573) 559-2430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R055922
AR
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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