Individual
MRS. ALISSA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
11227 LAKEVIEW AVE, LENEXA, KS 66219
(913) 730-1100
Mailing address
9000 PARK ST STE 100, LENEXA, KS 66215-3306
(319) 504-8887
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A189044
IA
363LF0000X
Family Nurse Practitioner
Primary
53-76134-061
KS
363LF0000X
Family Nurse Practitioner
A189044
IA
Other
Enumeration date
10/16/2013
Last updated
03/26/2026
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