Individual
KATHERINE SMENTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 CHARTER DR STE 130, COLUMBIA, MD 21044-3258
(800) 953-3111
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(800) 953-3111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0088819
MD
208800000X
Urology Physician
MD467006
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0088819
STATE LICENSE
MD
Enumeration date
04/07/2014
Last updated
10/19/2020
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