Individual
SIDNEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227-7268
(913) 677-6319
Mailing address
23401 PRAIRIE STAR PKWY STE 300, LENEXA, KS 66227-7246
(913) 677-6319
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
2018006451
MO
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
2160
KS
Other
Enumeration date
11/06/2019
Last updated
09/04/2023
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