Smith, Kendra Sue

Smith, Kendra Sue is an individual health care provider with primary practice located at 3905 W Ernestine Dr Suite B, Marion IL 62959-5800. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Kendra Sue can be contacted via phone (618) 993-6237.

Contact Information

Primary practice address
3905 W Ernestine Dr Suite B Marion IL 62959-5800
Phone: (618) 993-6237
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.013723 Illinois

Profile Details

NPI number 1235222779
LBN Legal business name Smith, Kendra Sue
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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