Amanda F Smith
Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Baldwin City, KS
NPI 1124529441 · NPPES record last updated Feb 22, 2018
Key facts
- NPI
- 1124529441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
- License
- 24-01269 (KS)
- Practice address
- 605 6TH St
Baldwin City, KS 66006-4202 - Phone
- (785) 813-3980
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-01269 | KS | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 24-01269 | KS | Yes |
Addresses
Primary practice location
605 6TH St
Baldwin City, KS 66006-4202
Mailing address
605 6TH St
Baldwin City, KS 66006-4202
Other providers in Baldwin City, KS
- Cheryl Ann Schoenberger
- Jennifer Ann Schweda
- Soichiro Shiota
- Anna Skaggs
- Cassidy Smart
- Gary Stevanus
- Sara Strand
- James Lewis Sturgis
- Vintage Park at Baldwin LLC
- Michael Leroy Vinyard
All providers in Baldwin City, KS · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.