Individual
REBECCA ILENE SMITH
Active
Individual
REBECCA ILENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05-35162
KS
207R00000X
Internal Medicine Physician
2008016714
MO
Other
Enumeration date
07/09/2008
Last updated
12/15/2025
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