Individual
KENDRA LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 N HARDESTY AVE, KANSAS CITY, MO 64123-1404
(816) 241-2020
Mailing address
4204 GREYSTONE DR, SAINT JOSEPH, MO 64505-8594
(816) 646-4200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019002016
MO
Other
Enumeration date
10/20/2021
Last updated
11/15/2021
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