Individual
MS. KATHY BRENNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-6622
Mailing address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-6622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
04528
LA
Other
Enumeration date
02/28/2008
Last updated
09/13/2010
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