MEDICARE: DR. RHONDA LAURINE SMITH DC

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
1	111N00000X	Chiropractor	005450	MO

General Provider Information

NPI Number	:	1780880294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHONDA LAURINE SMITH DC

Provider Business Mailing Address
First Line	:	4321 NE VIVION RD
Second Line	:	STE 102
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2862
Country	:	US
Telephone Number	:	816-803-1360
Fax Number	:	816-453-3331

Provider Business Practice Location Address
First Line	:	4321 NE VIVION RD
Second Line	:	STE 102
City	:	KANSAS CITY
State	:	MO
Zip	:	64119-2838
Country	:	US
Telephone Number	:	816-803-1360
Fax Number	:	816-453-3331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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