Individual
MRS. KERRI ANN MCCABE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1015 KELLEY DR, SUITE 200, PARIS, TN 38242-5819
(731) 644-2271
(731) 644-3980
Mailing address
1015 KELLEY DR, SUITE 200, PARIS, TN 38242-5819
(731) 644-2271
(731) 644-3980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124048541
GROUP NPI
TN
01
—
1346247186
NPI
TN
05
—
3663101
—
TN
01
—
4102404
BCBSTN
TN
01
—
4102410
BCBSTN
TN
Enumeration date
07/07/2005
Last updated
08/28/2013
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