Most Relevant Information
Provider Data
| NPI Number: | 1003641796 |
| Provider Name: | KENNEDY ALEXANDRA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/03/2024 |
| Last Updated: | 09/03/2024 |
Provider Practice Location
2455 SUTHERLAND AVE BLDG A
KNOXVILLE
TN
379192355
Practice Location Phone/Fax
| Phone: | 8653600245 |
| Fax: |
Provider Mailing Location
1641 WHEATON PL
KNOXVILLE
TN
379198982
Provider Mailing Phone/Fax
| Phone: | 8653600245 |
| Fax: |