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Individual

MRS. KENDRA LYN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6000
Mailing address
16145 CALDERA LN, NAPLES, FL 34110-2831
(208) 681-8157

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28247859A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020319
OH

Other

Enumeration date
12/19/2018
Last updated
03/17/2025
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