Individual
DR. HEIDI J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 537-4200
Mailing address
1600 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 840-6634
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A-2327-20
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
05-43138
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO189582
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-2327-20
NEW MEXICO LICENSE
NM
Enumeration date
06/14/2013
Last updated
07/26/2020
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