# MS. KATHRYN BRUNK SMILEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285805499
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-03567 | NC | Yes |
| 363A00000X | Physician Assistant | PA9104473 | FL | — |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 07/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01139562 | — | MS |
| 05 | — | 1285805499 | — | NC |
| 05 | — | 1460PA | — | SC |
| 05 | — | 2141141 | — | LA |
| 05 | — | 8102554 | — | NC |