Individual
DR. DIRK M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 W CENTRAL AVE, SUITE ONE, WICHITA, KS 67212-9503
(316) 721-4544
(316) 721-8307
Mailing address
8200 W CENTRAL AVE, SUITE ONE, WICHITA, KS 67212-9503
(316) 721-4544
(316) 721-8307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-29410
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040030B
—
KS
Enumeration date
06/01/2005
Last updated
03/24/2023
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