Individual
DR. JACQUELYN ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
(316) 866-2084
Mailing address
655 N WOODLAWN ST, WICHITA, KS 67208-3648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1851
KS
Other
Enumeration date
06/11/2009
Last updated
11/26/2019
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