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NPI Code Detail

MEDICARE: KAREN SUE SMITH ARNP

MEDICARE: KAREN SUE SMITH ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner45418KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992805113
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUE SMITH ARNP
Provider Business Mailing Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6690
Fax Number : 620-669-6763
Provider Business Practice Location Address
First Line : 1100 N MAIN ST
Second Line :
City : HUTCHINSON
State : KS
Zip : 67501-4406
Country : US
Telephone Number : 620-669-6690
Fax Number : 620-669-6763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 06/06/2011

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Directions to “ KAREN SUE SMITH ARNP” Practice Location

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