Individual
KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2651 N GREEN VALLEY PKWY, HENDERSON, NV 89014-0266
(702) 353-9777
(702) 776-7464
Mailing address
2651 N GREEN VALLEY PKWY STE 103, HENDERSON, NV 89014-0234
(702) 353-9777
(702) 776-7464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10735
NV
Other
Enumeration date
02/16/2007
Last updated
09/11/2020
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