Individual
MR. BRANDON LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Contact information
Practice address
3244 KIMBALL AVE, MANHATTAN, KS 66503
(785) 537-8897
(785) 537-8893
Mailing address
3244 KIMBALL AVE, MANHATTAN, KS 66503
(785) 537-8897
(785) 537-8893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CS0162
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50162
CERTIFICATION FROM BOC
—
Enumeration date
02/15/2011
Last updated
05/26/2011
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