| Doctor Name: | KATHIE JANE SMITH |
| NPI Number: | 1053588525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP1020922 |
| Business Practice Address: | 3385 S Us Highway 17/92 Casselberry, FL - 327072933 |
| Business Phone Number: | 4072601992 |
| Business Fax Number: | 4072609210 |
| Mailing Address: | 8 Cadillac Dr, Suite 250 BRENTWOOD |
| State: | TN |
| Postal Code: | 370275087 |
| Phone Number: | 6154254200 |
| Fax Number: | 6154254271 |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP1020922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |