Individual
MR. CHARLES P SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
7730 RAYTOWN RD, RAYTOWN, MO 64138-1853
(816) 309-2768
Mailing address
7730 RAYTOWN RD, RAYTOWN, MO 64138-1853
(816) 309-2768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140821
MO
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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