| NPI | 1760496814 |
|---|---|
| Former Name | KATHRYN KELLY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN182759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013003462) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-05-15 |