Individual
JEFFREY DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7550 W. VILLAGE CIRCLE, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Mailing address
9905 SW 15TH ST, TOWANDA, KS 67144-9007
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00327
KS
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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