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General NPI Number Information
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NPI Number | 1790712107
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Entity Type | Individual
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Provider Name | LINDALL E SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 550 N HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67214-4910
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Country | US
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Telephone | 316-962-7190
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Fax | 316-962-7100
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Provider Business Mailing Address
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Address Line | PO BOX 47490
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City | WICHITA
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State | KS
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Zip | 67201-7490
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Country | US
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Telephone | 316-962-3150
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Fax | 316-962-7334
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 20632
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License Number State | KS
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