Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-43025 | KS |
NPI | 1073907010 |
---|---|
Provider Name | Dr. Guerin Smith |
First Address | Overland Park, KS 66221 |
Second Address | Overland Park, KS 66221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 08/06/2020 |