Individual
KRISTIN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 5TH ST, BEAVER, PA 15009-1964
(724) 774-5255
Mailing address
701 5TH ST, BEAVER, PA 15009-1964
(724) 774-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050738
PA
363AM0700X
Medical Physician Assistant
MA050738
PA
363AS0400X
Surgical Physician Assistant
MA050738
PA
Other
Enumeration date
02/28/2011
Last updated
10/01/2024
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