Individual
MRS. ANN K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W 119TH ST, SUITE 410, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(913) 345-3797
Mailing address
5701 W 119TH ST, SUITE 410, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(913) 345-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24833
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158990D
—
KS
05
—
1922026145
—
MO
Enumeration date
07/17/2006
Last updated
11/04/2009
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