Individual
DR. CAMRON BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160-8500
(913) 588-1847
Mailing address
3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160-8500
(913) 588-1847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021-00951
NC
261QR0206X
Mammography Clinic/Center
05-43247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-43247
STATE LICENSE
KS
Enumeration date
06/14/2016
Last updated
04/20/2022
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