Individual
ALLYN NEILL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1802 N WOODBINE RD, ST JOSEPH, MO 64506
(816) 232-5113
(816) 232-0453
Mailing address
1802 N WOODBINE RD, SAINT JOSEPH, MO 64506-3667
(816) 232-5113
(816) 232-0453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006171
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350050985
RR MEDICARE
MO
05
—
757861505
—
MO
Enumeration date
07/07/2006
Last updated
08/23/2019
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