Doctor Name: | MS. KATHERINE J. DONEBY SMITH |
NPI Number: | 1063416881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C0000639 |
Business Practice Address: | 702 Russell Ave Ste 100 Gaithersburg, MD - 208772606 |
Business Phone Number: | 3013557037 |
Business Fax Number: | 3013557501 |
Mailing Address: | 702 Russell Ave, Ste 100 GAITHERSBURG |
State: | MD |
Postal Code: | 208772606 |
Phone Number: | 3013557037 |
Fax Number: | 3013557501 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C0000639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |