Individual
KAYLEY DARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2027 THE WOODS CIR, BARNHART, MO 63012-1297
(618) 616-2280
Mailing address
2027 THE WOODS CIR, BARNHART, MO 63012-1297
(618) 616-2280
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2019022121
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019022121
NURSING LICENSE NUMBER
MO
Enumeration date
06/03/2021
Last updated
06/03/2021
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