| Doctor Name: | MRS. KATHRYN KJORSTAD SMITH |
| NPI Number: | 1295830149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | L 115 |
| Business Practice Address: | 3333 Glendale Ave Toledo, OH - 436142426 |
| Business Phone Number: | 4192592000 |
| Business Fax Number: | 4192592008 |
| Mailing Address: | 7121 Crabtree Ln, SYLVANIA |
| State: | OH |
| Postal Code: | 435601107 |
| Phone Number: | 4198852781 |
| Fax Number: | 4198852781 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | L 115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |