Individual
KAITLYN A SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 280-8502
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 280-8502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019060
IL
Other
Enumeration date
03/27/2019
Last updated
10/13/2021
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