Individual
LINDALL E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
(316) 962-7100
Mailing address
PO BOX 47490, WICHITA, KS 67201-7490
(316) 962-3150
(316) 962-7334
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20632
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047830
BCBS
KS
01
—
12149408
MULTIPLAN
KS
01
—
16935
COVENTRY
KS
01
—
200505
HPK
KS
01
—
869
PHS
KS
Enumeration date
06/28/2006
Last updated
07/13/2007
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