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Contact Information

SHADRACH J SMITH JR, MD
12140 NALL AVE
SUITE 100
OVERLAND PARK, KS66209
 Phone: 913-451-8500
 Fax: 913-451-1754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHADRACH J SMITH JR · (Male)

NPI # 1093770299
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 07/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000174361
Hospital affiliation(s)
  • RESEARCH MEDICAL CENTER - (Acute Care)
    2316 E MEYER BLVD
    KANSAS CITY, MO 64132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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