Individual
KENDRA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 564-4762
Mailing address
106 W NORTH ST, CORTEZ, CO 81321-3119
(970) 564-4762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1646186
CO
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
RN.1646186
CO
Other
Enumeration date
03/22/2018
Last updated
08/27/2020
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