Individual
JACOB DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Mailing address
11501 GRANADA LANE, LEAWOOD, KS 66211-1454
(913) 451-3722
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
04-47899
KS
Other
Enumeration date
03/30/2017
Last updated
06/13/2024
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