Individual
MRS. KAREN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
725 S LUDLOW ST, DAYTON, OH 45402
(937) 208-8816
(937) 208-8828
Mailing address
725 S LUDLOW ST, DAYTON, OH 45402-2610
(937) 208-8816
(937) 208-8828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 192563
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 192563
RN LICENSURE
OH
Enumeration date
05/26/2011
Last updated
05/26/2011
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