Individual
THOMAS W. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 E. 23RD, HUTCHINSON, KS 67502
(620) 665-2394
(620) 662-0538
Mailing address
1712 E. 23RD., HUTCHINSON, KS 67502
(620) 662-4458
(620) 662-0538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-18951
KS
174400000X
Specialist
0418951
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083090B
—
KS
Enumeration date
07/07/2006
Last updated
10/14/2013
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