Individual
DR. KELLI ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
220 W 75TH ST, KANSAS CITY, MO 64114
(816) 523-8421
(816) 523-0909
Mailing address
220 W 75TH ST, KANSAS CITY, MO 64114
(816) 523-8421
(816) 523-0909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016040124
MO
152W00000X
Optometrist
2046
KS
Other
Enumeration date
06/27/2011
Last updated
12/13/2021
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