Individual
MRS. KARA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
001829
NY
246Z00000X
Other Specialist/Technologist
Primary
AT1021
KY
Other
Enumeration date
07/05/2010
Last updated
12/02/2014
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