Individual
MRS. SUSAN KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(314) 679-7880
Mailing address
111 S MERAMEC AVE, 41 S CENTRAL AVE, CLAYTON, MO 63105-1711
(314) 615-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
086839
IA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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