Individual
BRIAN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
16510 FAIRWAY RD, BELTON, MO 64012-3365
(816) 861-4700
Mailing address
16510 FAIRWAY RD, BELTON, MO 64012-3365
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
134917
KS
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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