Individual
KATHY SUSANNE SMEHYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
(863) 453-3121
(863) 452-2823
Mailing address
1006 W PLEASANT ST, AVON PARK, FL 33825-2966
(863) 453-3121
(863) 452-2823
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290609100
—
FL
01
—
970013283
RAILROAD MEDICARE
—
Enumeration date
07/01/2006
Last updated
05/21/2013
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