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Individual
KATHERYN M SMITH
Active
Individual
KATHERYN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
129159
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022035162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420017303
—
MO
Enumeration date
06/23/2005
Last updated
08/07/2025
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