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Individual

KATIE LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Mailing address
7822 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75471
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101648
NE

Other

Enumeration date
02/17/2021
Last updated
03/24/2023
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