Most Relevant Information
Provider Data
| NPI Number: | 1003331083 |
| Provider Name: | KENDRA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2017 |
| Last Updated: | 08/10/2017 |
Provider Practice Location
711 BARNES AVE
LA JUNTA
CO
810502138
Practice Location Phone/Fax
| Phone: | 7193845446 |
| Fax: | 7193845672 |
Provider Mailing Location
711 BARNES AVE
LA JUNTA
CO
810502138
Provider Mailing Phone/Fax
| Phone: | 7193845446 |
| Fax: | 7193845672 |