KATHLEEN W. SMITH

PEORIA, IL
NPI1992109755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: IL  209012013)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209.012013)
Enumeration Date2014-10-22
Last Update Date2024-07-25
Business Address
Ms. KATHLEEN W. SMITH APN
900 MAIN STREET SUITE 280
PEORIA, IL 61636-4688
Phone number: 309-643-6118
Mailing Address
Ms. KATHLEEN W. SMITH APN
10611 N SLEEPY HOLLOW RD
PEORIA, IL 61615-1121
Phone number: 309-712-1363