Individual
KENNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 MAIN ST, MANCHESTER, KY 40962-1259
(606) 596-2131
Mailing address
205 MAIN ST, MANCHESTER, KY 40962-1259
(606) 596-2131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
279286
KY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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