Individual
DR. SMRUTHI SANATH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7704
(573) 556-1714
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019005684
MO
Other
Enumeration date
07/13/2009
Last updated
01/23/2023
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