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Individual
BENJAMIN ALAN SMITH
Active
Individual
BENJAMIN ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-51292
KS
207Q00000X
Family Medicine Physician
Primary
87709
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
05-51292
KS
Other
Enumeration date
05/20/2022
Last updated
08/19/2026
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