Individual
KATHLEEN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3319 COLORADO BLVD, DENTON, TX 76210-6817
(940) 383-1279
(940) 387-0489
Mailing address
3319 COLORADO BLVD, DENTON, TX 76210-6817
(940) 383-1279
(940) 387-0489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A03000 ANP
AR
363L00000X
Nurse Practitioner
AP119931
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
550735
TX
363LA2100X
Acute Care Nurse Practitioner
AP119931
TX
363LF0000X
Family Nurse Practitioner
AP30006856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165788741
—
AR
05
—
200114220A
—
OK
05
—
9643750
—
WA
Enumeration date
06/22/2005
Last updated
10/28/2021
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