Doctor Name: | KATHRYN RAE SMITH |
NPI Number: | 1235373911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009323 |
Business Practice Address: | 250 King Of Prussia Rd Radnor, PA - 190875235 |
Business Phone Number: | 6109022400 |
Business Fax Number: | 6109022404 |
Mailing Address: | 250 King Of Prussia Rd, RADNOR |
State: | PA |
Postal Code: | 190875235 |
Phone Number: | 6109022400 |
Fax Number: | 6109022404 |
NPI Enumeration Date: | 04/27/2009 |
NPI Last Update Date: | 03/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP009323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |