Individual
DR. KATHLEEN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2875 HOLME AVENUE, PHILADELPHIA, PA 19152
(215) 673-1113
(215) 673-4941
Mailing address
2875 HOLME AVENUE, PHILADELPHIA, PA 19152
(215) 673-1113
(215) 673-4941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002472L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048431000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/04/2006
Last updated
07/08/2007
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