Individual
KAITLIN MARIE RYAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7486
Mailing address
PO BOX 2739, DURHAM, NC 27715-2739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00602
NC
Other
Enumeration date
04/24/2012
Last updated
02/13/2018
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