Individual
MISTY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 234-3000
Mailing address
6248 W 123RD ST, OVERLAND PARK, KS 66209-2716
(913) 961-3678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018043983
MO
363LF0000X
Family Nurse Practitioner
53-78549-072
KS
Other
Enumeration date
04/19/2019
Last updated
09/17/2019
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