Individual
MADELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2508 EDGEMONT DR STE 6, ARKANSAS CITY, KS 67005-3844
(620) 442-2577
Mailing address
10531 E 21ST ST N, WICHITA, KS 67206-3582
(316) 686-6063
(316) 686-4214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2199
KS
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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