Individual
ABIGAIL LORRAINE SMITH KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3215 WINGATE CT, COLUMBIA, MO 65201-7214
(573) 884-3937
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2021021137
MO
152W00000X
Optometrist
S-E63-TA-B74
AL
152WP0200X
Pediatric Optometrist
Primary
2021021137
MO
Other
Enumeration date
05/15/2020
Last updated
08/09/2022
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