Individual
MICHAEL SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 W IRA CT, ANDOVER, KS 67002-9469
(316) 733-5047
(316) 733-5060
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 775-5491
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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