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Individual

MS. KATHERINE J. DONEBY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
702 RUSSELL AVE, STE 100, GAITHERSBURG, MD 20877-2606
(301) 355-7037
(301) 355-7501
Mailing address
702 RUSSELL AVE, STE 100, GAITHERSBURG, MD 20877-2606
(301) 355-7037
(301) 355-7501

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0000639
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093081400
MD
05
151651500
MD
Enumeration date
06/09/2005
Last updated
01/27/2010
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