Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 2016018715 | MO |
Y | 207ND0900X | Dermatopathologist | 2016018715 | MO |
NPI | 1528324670 |
---|---|
Provider Name | Emily Hoffman Smith |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 07/05/2019 |