Individual
KATHRYN JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
6075 409TH AVE NW, DALBO, MN 55017-5110
(612) 703-2097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11298
MN
Other
Enumeration date
02/16/2024
Last updated
05/29/2024
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