Individual
MRS. KAREN SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 COLEMANS XING STE 200, MARYSVILLE, OH 43040-7195
(937) 578-4300
(937) 578-4311
Mailing address
140 COLEMANS XING STE 200, MARYSVILLE, OH 43040-7195
(937) 578-4300
(937) 578-4311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
02/25/2006
Last updated
05/10/2024
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