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1700120904
KELLY M SMITH
HUTCHINSON, KS
NPI
1700120904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 1402441)
Enumeration Date
2012-11-12
Last Update Date
2012-11-12
Business Address
-- KELLY M SMITH PTA
2803 N LORRAINE ST STE F
HUTCHINSON, KS 67502-4354
Phone number: 620-662-3111
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Mailing Address
-- KELLY M SMITH PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3013
Phone number: 316-263-0003
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