Individual
DR. FREDERICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 CANTERBURY DR, SUITE 112, HAYS, KS 67601-2247
(785) 628-8221
(785) 628-3264
Mailing address
2500 CANTERBURY DR, SUITE 112, HAYS, KS 67601-2247
(785) 628-8221
(785) 628-3264
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0519485
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446890A
—
KS
05
—
100446890B
—
KS
Enumeration date
09/20/2005
Last updated
12/23/2008
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