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Individual
KATHERINE T SMITH
Active
Individual
KATHERINE T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE/NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
411672
CA
163WD0400X
Diabetes Educator Registered Nurse
RN41672
CA
363L00000X
Nurse Practitioner
Primary
NP14179
CA
363LF0000X
Family Nurse Practitioner
14179
CA
Other
Enumeration date
08/31/2006
Last updated
03/07/2023
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