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Individual

MRS. KRISTEN J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3614 W KENNEDY BLVD, SUITE B, TAMPA, FL 33609-2852
(813) 870-2528
(813) 876-1003
Mailing address
3614 W. KENNEDY BOULEVARD, SUITE B, TAMPA, FL 33609-2231
(813) 870-2528
(813) 876-1003

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9234672
FL

Other

Enumeration date
05/31/2007
Last updated
10/11/2013
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