Individual
MADISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 PARK ST STE 100, LENEXA, KS 66215-3306
(913) 374-0218
Mailing address
9415 PINE ST, LENEXA, KS 66220-3633
(913) 617-6754
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
53-83175-061
KS
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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