Individual
KENDAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
110 N THOMAS AVE, KINGSTON, PA 18704-5511
(570) 592-5458
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005065
PA
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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