Search › Missouri › 106S00000X
Grant Cooley-Smith
NPI 1144137837 · on the registry since 2026 · sole proprietor
Practice
- Address
- 410 Teaco Rd
Kennett, MO 63857 - Phone
- (870) 565-9776
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri