Individual
SMITH C MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, DEPT 109, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
04-35092
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-35092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200737850B
—
KS
05
—
206593402
—
MO
01
—
45845027
BCBS KC
KS
01
—
45845037
BCBS KC
KS
01
—
P02027324
RAILROAD
KS
Enumeration date
05/24/2007
Last updated
11/10/2020
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