Individual
CHINA KATHLEEN ADAIR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1016 N FOURCHE AVE, PERRYVILLE, AR 72126-8545
(501) 238-1284
Mailing address
990 COUNTRY COVE LN, RUSSELLVILLE, AR 72802-2339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1231
AR
363A00000X
Physician Assistant
PA12318
TX
Other
Enumeration date
11/01/2018
Last updated
12/19/2023
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