Individual
MRS. TRISHA SMART-COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 MEDICAL CENTER DR, SUITE 101, NEWTON, KS 67114-9013
(316) 630-0608
(316) 630-0564
Mailing address
1040 N WEST ST, WICHITA, KS 67203-1226
(316) 945-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00502
KS
363AM0700X
Medical Physician Assistant
15-00502
KS
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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