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BONNIE ELIZABETH CHARLES SMOTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381
Mailing address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6955
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200739460A
KS
Enumeration date
05/29/2008
Last updated
12/20/2011
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