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Contact Information

RYLEA SMITH, CHW
857 E MAIN ST STE 4
WILLOW SPRINGS, MO65793-1512
 Phone: 417-469-7385
 Fax: 417-469-7386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for RYLEA SMITH · (Female)

NPI # 1184314205
Status Active
Credentials CHW
Entity Individual
Enumeration date 05/11/2023
Last updated 05/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 15658
  • MO License # 2019001937
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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