Smith, Stephen Dale

Smith, Stephen Dale is an individual health care provider with primary practice located at 2330 Shawnee Mission Parkway , Westwood KS 66205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Smith, Stephen Dale can be contacted via phone (913) 588-6340.

Contact Information

Primary practice address
2330 Shawnee Mission Parkway Westwood KS 66205
Phone: (913) 588-6340
Fax: (913) 588-2245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036079523 Illinois
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 04-17361 Kansas

Profile Details

NPI number 1760495402
LBN Legal business name Smith, Stephen Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760495402 NPPES
Kansas MEDICAID 100287090B
Kansas MEDICAID 036079523

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