Individual
KEYANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7020 CLAREMORE DR, SAINT LOUIS, MO 63121-5204
(314) 457-3234
Mailing address
7020 CLAREMORE DR, SAINT LOUIS, MO 63121-5204
(314) 457-3234
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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