Cassidy Smart

Individual provider Active NPI Attendant Care Provider · Baldwin City, KS

NPI 1508633751 · NPPES record last updated Dec 7, 2023

Key facts

NPI
1508633751
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
204 Orange St
Baldwin City, KS 66006-4093
Phone
(254) 291-0401
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

204 Orange St
Baldwin City, KS 66006-4093

Mailing address

204 Orange St
Baldwin City, KS 66006-4093
Phone (254) 291-0401

Other providers in Baldwin City, KS

All providers in Baldwin City, KS · Attendant Care Provider in Kansas

Sources for this page

Verify at the official NPI Registry.