Individual
ADAM J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
2 KISSEE AVE, SUITE E, KIMBERLING CITY, MO 65686-9701
(417) 739-9000
(417) 739-9002
Mailing address
110 KIMBERLING SHRS, APT 3, KIMBERLING CITY, MO 65686-7418
(417) 399-6893
(417) 739-9002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009019491
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009019491
LICENSE
MO
Enumeration date
07/21/2009
Last updated
05/16/2011
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