Individual
JASON LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
32799 W 91ST TER, DE SOTO, KS 66018-8161
(913) 406-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149584
MO
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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