Provider Demographics
NPI:1467280297
Name:SMITH, DAELYN ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:DAELYN
Middle Name:ANNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:210 E 30TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-2463
Mailing Address - Country:US
Mailing Address - Phone:620-615-1389
Mailing Address - Fax:662-259-6399
Practice Address - Street 1:210 E 30TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2463
Practice Address - Country:US
Practice Address - Phone:620-259-6399
Practice Address - Fax:620-259-6682
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0106351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor