Individual
KAREN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP-BC
Contact information
Practice address
3710 57TH AVE, 3710 57TH AVE, KENOSHA, WI 53144-5314
(262) 652-1474
Mailing address
3710 57TH AVE, KENOSHA, WI 53144-4820
(262) 652-1474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11314-33
WI
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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