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Individual
KARI ZIMMERMAN SMITH
Active
Individual
KARI ZIMMERMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02021
TX
363AM0700X
Medical Physician Assistant
PA02021
TX
363AS0400X
Surgical Physician Assistant
PA02021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835N13
BC/BS TX - EFFECT 02/01/2011
TX
01
—
P00935314
RAILROAD MEDICARE
TX
Enumeration date
01/18/2007
Last updated
06/11/2024
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