| Patricia Smith, Llc | |
|
9415 Lee Blvd Leawood KS 66206-1825 | |
| (913) 941-9114 | |
| Not Available |
| Full Name | Patricia Smith, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 9415 Lee Blvd, Leawood, Kansas |
| Authorized Official Name and Position | Patricia Smith (SOLE OWNER) |
| Authorized Official Contact | 9133419114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Smith, Llc 9415 Lee Blvd Leawood KS 66206-1825 Ph: (913) 941-9114 | Patricia Smith, Llc 9415 Lee Blvd Leawood KS 66206-1825 Ph: (913) 941-9114 |
| NPI Number | 1952642340 |
|---|---|
| Provider Enumeration Date | 03/08/2013 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952642340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-75113-021 (Kansas) | Primary |
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