Individual
MS. BRENDA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
(217) 373-2443
Mailing address
1820 SADLER DR, CHAMPAIGN, IL 61821-5738
(217) 373-2436
(217) 373-2443
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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