NPI 1083025357

Jenna McKuin-Smith

Practitioner Case Management Agency Kennett, MO

Practice location

Address: 1109 Jones St, Kennett, MO 63857-3824
Phone: (573) 359-2600
Mailing address: 805 Central St, Kennett, MO 63857-3305

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1083025357
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2014
Record last updated: 8 May 2014

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.