Individual
EDNA KARLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1306 STATE ST, AUGUSTA, KS 67010-1126
(316) 775-9191
(316) 775-0348
Mailing address
1306 STATE ST, AUGUSTA, KS 67010-1126
(316) 775-9191
(316) 775-0348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-47864-091
KS
363LF0000X
Family Nurse Practitioner
Primary
45560
KS
364SA2200X
Adult Health Clinical Nurse Specialist
74773
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161550
BCBS-KS
—
Enumeration date
08/20/2006
Last updated
01/11/2010
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