Individual
JILL L JOHNSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
612 N ANDOVER RD, ANDOVER, KS 67002-9778
(316) 733-6618
(316) 733-5299
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00074
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719232
MEDICARE
—
05
—
100385390D
—
KS
Enumeration date
03/30/2006
Last updated
06/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us