Individual
LARONE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12830 E TIMBER LAKE RD, WICHITA, KS 67230-6501
(316) 209-0940
Mailing address
12830 E TIMBER LAKE RD, WICHITA, KS 67230-6501
(316) 209-0940
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
KS
347E00000X
Transportation Broker
Primary
—
KS
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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