Organization
K B SMITH, D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA NINA NAMASTE C.A. (OFFICE MANAGER)
(913) 648-8111
Entity
Organization
Contact information
Practice address
9209 W 110TH ST BLDG 36, OVERLAND PARK, KS 66210-1401
(913) 648-8111
(913) 912-5870
Mailing address
9209 W 110TH ST BLDG 36, OVERLAND PARK, KS 66210-1401
(913) 648-8111
(913) 912-5870
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
KS-01-04499
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10895941
CAQH
—
Enumeration date
01/14/2010
Last updated
06/10/2014
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