Individual
KATHRYN M SMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
825 OLD LANCASTER RD, BRYN MAWR, PA 19010-3231
(610) 642-1090
Mailing address
825 OLD LANCASTER RD, BRYN MAWR, PA 19010-3231
(610) 642-1090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00247000
NJ
363AM0700X
Medical Physician Assistant
Primary
MA055027
PA
Other
Enumeration date
10/26/2010
Last updated
07/18/2014
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