Individual
DEBRA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, 2026 MILLER MAIL STOP 4004, KANSAS CITY, KS 66160
(913) 588-6301
(913) 588-6319
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-7816
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-24005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18582015
BCBS KANSAS CITY
MO
01
—
627080
FIRSTGUARD
—
Enumeration date
08/31/2006
Last updated
07/09/2007
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