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Organization
KATHY DALE SMITH MD PLLC
Active
Organization
KATHY DALE SMITH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SMITH MD (OWNER)
(702) 568-8450
Entity
Organization
Contact information
Practice address
200 E HORIZON DR, SUITE A, HENDERSON, NV 89015-8033
(702) 568-8450
Mailing address
200 E HORIZON DR, SUITE A, HENDERSON, NV 89015-8033
(702) 568-8450
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
03/20/2014
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