Individual
SCOTT A SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
Mailing address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-29524
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067280
MEDICARE PTAN
KS
05
—
100458290A
—
KS
Enumeration date
06/26/2006
Last updated
08/01/2025
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