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Individual
KAITLYN SMITH
Active
Individual
KAITLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00498600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00498600
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00498600
NJ
Other
Enumeration date
04/18/2014
Last updated
03/25/2015
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