Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
331 OAK MANOR DR STE 201, GLEN BURNIE, MD 21061-5555
(443) 333-1894
Mailing address
331 OAK MANOR DR STE 201, GLEN BURNIE, MD 21061-5555
(443) 333-1894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007292
MD
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
C0007292
MD
Other
Enumeration date
10/14/2018
Last updated
06/10/2024
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