Individual
JILL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3450 N ROCK RD STE 208, WICHITA, KS 67226-1352
(316) 685-6091
Mailing address
3450 N ROCK RD STE 208, WICHITA, KS 67226-1352
(316) 789-8444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13-77243-091
KS
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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