| Justin Smith, CRNA | |
|
1301 1st St, Kennett, MO 63857-2525 | |
| (573) 686-5550 | |
| Not Available |
| Full Name | Justin Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1301 1st St, Kennett, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699141903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2015023426 (Arkansas) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R077620 (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Smith, CRNA 209 S Main St, Poplar Bluff, MO 63901-5831 Ph: (573) 686-5550 | Justin Smith, CRNA 1301 1st St, Kennett, MO 63857-2525 Ph: (573) 686-5550 |
John M Ricketts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1231 1st St, Kennett, MO 63857 Phone: 573-888-4522 | |
Mark W Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 First St, Kennett, MO 63857 Phone: 573-888-4522 | |
Mallory Elizabeth Stith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 1st St, Kennett, MO 63857 Phone: 573-718-4038 |