Individual
CHRISTINE TERRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
Mailing address
1219 E BROOK FOREST CT, DERBY, KS 67037-2101
(316) 227-8543
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-81283-091
KS
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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