Individual
MRS. DORIS REAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E EXCELSIOR ST APT 2, EXCELSIOR SPRINGS, MO 64024-2264
(816) 517-7288
Mailing address
3500 INDIANA AVE, KANSAS CITY, MO 64128-2559
(816) 517-7288
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
MO
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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