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Contact Information

KANIYA K SMOTHERMAN
3834A COTEBRILLIANTE AVE.
ST LOUIS , MO, MO63113
 Phone: 314-489-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for KANIYA K SMOTHERMAN · (Female)

NPI # 1487139937
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2018
Last updated 10/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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