Individual
VALERIE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 RUSSELL ST, KENNETT, MO 63857-2102
(573) 717-1332
(573) 717-1335
Mailing address
311 MAIN ST, P.O. BOX 400, NEW MADRID, MO 63869-1942
(573) 748-2404
(573) 748-8929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36405
MO
Other
Enumeration date
07/13/2006
Last updated
04/04/2012
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