Individual
KATELYN MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1910 JAKE ALEXANDER BLVD W STE 102, SALISBURY, NC 28147-1163
(704) 637-1779
(704) 637-1121
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15945
NC
363A00000X
Physician Assistant
5601009664
MI
Other
Enumeration date
11/13/2018
Last updated
11/05/2025
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