Individual
KENCHELLE S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 US HIGHWAY 80 E STE 223, MESQUITE, TX 75150-3353
(972) 373-4932
Mailing address
17717 VAIL ST APT 1412, DALLAS, TX 75287-6434
(346) 874-0935
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
08/15/2022
Last updated
08/25/2022
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