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Individual
MS. KRISTEN DIANE SMITH
Active
Individual
MS. KRISTEN DIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01096117A
IN
208000000X
Pediatrics Physician
Primary
125-055924
IL
208M00000X
Hospitalist Physician
01096117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130223
—
IL
Enumeration date
09/28/2009
Last updated
05/16/2025
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