Individual
KAITLYN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(215) 955-6000
Mailing address
9202 EXETER RD, PHILADELPHIA, PA 19114-3802
(215) 990-5732
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
SP026325
PA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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