Sidney Smith
Dietitian, Registered, Nutrition, Obesity and Weight Management in Lenexa, KS. Individual provider (NPI-1).
NPI number1962046508
StatusActive
Last updated in NPPESSep 4, 2023
Details
- NPI
- 1962046508
- Entity type
- Individual (NPI-1)
- Name
- Sidney Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2019
- Certification date
- Sep 3, 2023
- Last updated
- Sep 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | 2160 | KS | Yes |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | 2018006451 | MO |
Practice location
23401 Prairie Star Pkwy Ste B-300Lenexa, KS 66227-7268
Phone 913-677-6319
Mailing address
23401 Prairie Star Pkwy Ste 300Lenexa, KS 66227-7246
Phone 913-677-6319
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