Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 14-97276-081 | KS |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 2006004075 | MO |
N | 363LN0000X | Nurse Practitioner - Neonatal | 45844 | KS |
NPI | 1124076880 |
---|---|
Provider Name | Karen G Smith |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14-97276-081 | KS LICENSE (01) | KS |
2006004075 | MO LICENSE (01) | MO |
45844 | KS ARNP (01) | KS |