Individual
MARY KATHERINE BISAHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9209 W 110TH ST BLDG 36, OVERLAND PARK, KS 66210-1401
(913) 648-8111
(913) 912-5870
Mailing address
6299 W 157TH ST, OVERLAND PARK, KS 66223-3588
(816) 809-4126
(913) 912-5870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04499
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13449020
BCBS
—
01
—
5107103
AETNA
—
Enumeration date
03/19/2007
Last updated
06/10/2014
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