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NPI Code Detail

MEDICARE: RACHEL S SMITH MD

MEDICARE: RACHEL S SMITH MD
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
12080A0000XPediatric Adolescent Medicine Physician0423021KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2102792OTHERKSBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1013970979
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL S SMITH MD
Provider Business Mailing Address
First Line : 2415 MASSACHUSETTS ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-4827
Country : US
Telephone Number : 785-843-3750
Fax Number : 785-832-4887
Provider Business Practice Location Address
First Line : 2415 MASSACHUSETTS ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-4827
Country : US
Telephone Number : 785-843-3750
Fax Number : 785-832-4887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/14/2017

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