Individual
KRISTEN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 HAMILTON ST STE 301, PHILADELPHIA, PA 19130
(215) 774-1166
Mailing address
401 ROUTE 73 N BLDG 10, SUITE 320, MARLTON, NJ 08053
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004218
PA
363AM0700X
Medical Physician Assistant
MA057448
PA
Other
Enumeration date
01/29/2015
Last updated
05/29/2025
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