Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2409 CHERRY ST #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Mailing address
7943 SLATE CT, MAUMEE, OH 43537-8988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
135471
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787199
—
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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