Individual
DOROTHEY MAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 NW 57TH ST, KANSAS CITY, MO 64118-3109
(816) 453-4728
Mailing address
1223 NW 57TH ST, KANSAS CITY, MO 64118-3109
(816) 453-4728
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
MO
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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