Individual
MRS. KATHRYN L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2140 S YALE AVE, TULSA, OK 74114-2122
(918) 712-9342
Mailing address
2140 S YALE AVE, TULSA, OK 74114-2122
(918) 712-9342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1897
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477874642
—
MI
Enumeration date
06/22/2010
Last updated
05/01/2025
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