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Individual
KATHLEEN J SMITH
Active
Individual
KATHLEEN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6828
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000898
—
VT
05
—
0303988
—
VT
05
—
30518645
—
NH
05
—
70008987
—
NH
05
—
80000898
—
NH
01
—
NH0783
MEDICARE B GROUP INFO
NH
Enumeration date
12/01/2005
Last updated
05/13/2024
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