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Individual

MS. KAY A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2751 BAY PARK DR, SUITE 300, OREGON, OH 43616-4921
(419) 690-7596
(419) 697-6707
Mailing address
2751 BAY PARK DR, SUITE 300, OREGON, OH 43616-4921
(419) 690-7596
(419) 697-6707

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
04991
OH
363LW0102X
Women's Health Nurse Practitioner
NP02845
OH
367A00000X
Advanced Practice Midwife
Primary
NM04991
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000064890
ANTHEM
OH
01
05225
PARAMOUNT
OH
05
2016740
OH
01
344428256
BEECHSTREET
OH
01
344428256074
CARESOURCE
OH
05
4091925
MI
Enumeration date
07/14/2005
Last updated
11/03/2023
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