Individual
KENNETH TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
501 S SANTA FE AVE, SUITE 380, SALINA, KS 67401-4189
(785) 827-9635
(785) 827-6697
Mailing address
501 S SANTA FE AVE, SUITE 380, SALINA, KS 67401-4189
(785) 827-9635
(785) 827-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000161736
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000161736
KS STATE LICENSE
KS
Enumeration date
08/21/2006
Last updated
07/08/2007
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