Individual
RYAN PHILIP SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2330 E MEYER BLVD STE 505, KANSAS CITY, MO 64132-1152
(913) 267-1943
Mailing address
13321 W 104TH ST, LENEXA, KS 66215-2115
(913) 267-1943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019024114
MO
Other
Enumeration date
03/28/2019
Last updated
06/20/2025
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