NPI 1053057943

Kelsie Lynnn Smith, MHP

Practitioner Case Manager/Care Coordinator Waterloo, IL

Practice location

Address: 988 N Illinois Route 3, Waterloo, IL 62298-1059
Phone: (618) 939-4444
Mailing address: PO Box 146, Waterloo, IL 62298-0146

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1053057943
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2022
Record last updated: 12 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.