Individual
KATHERINE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-9746
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(183) 334-7352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2018
Last updated
08/19/2022
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