Individual
KATHRYN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2626 N BRYANT BLVD, SAN ANGELO, TX 76903-2861
(325) 658-1511
(325) 481-2104
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
750073
TX
363LA2100X
Acute Care Nurse Practitioner
750073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012020980
ANCC
TX
Enumeration date
05/22/2013
Last updated
05/22/2013
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