Individual
DR. ALVIN RAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2713 E 31ST ST, KANSAS CITY, MO 64128-1516
(816) 924-6533
(816) 924-0698
Mailing address
2713 E 31ST ST, KANSAS CITY, MO 64128-1516
(816) 924-6533
(816) 924-0698
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17504018
BCBS PROVIDER NUMBER
MO
05
—
303111603
—
MO
01
—
480010800
RAILROAD MEDICARE
MO
Enumeration date
06/28/2006
Last updated
06/21/2010
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