Individual
KATHLEEN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14289 BURNT MLS, WILLIS, TX 77318-6791
(832) 803-6208
(832) 803-6208
Mailing address
14289 BURNT MLS, WILLIS, TX 77318-6791
(832) 803-6208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
836361
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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