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Individual

KAITLIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
575 COAL VALLEY RD STE 570, JEFFERSON HILLS, PA 15025-3729
(412) 469-7660
(412) 469-7547
Mailing address
36 WOTRING RD, WASHINGTON, PA 15301-9334
(724) 825-1690

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020243
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103746336
PA
01
14589600
CAQH
Enumeration date
12/19/2018
Last updated
06/23/2021
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