Individual
KATHLEEN MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Mailing address
97 COOPER RD, CHEPACHET, RI 02814-1444
(774) 368-0554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04133
RI
363LF0000X
Family Nurse Practitioner
PENDING
RI
Other
Enumeration date
06/14/2024
Last updated
06/24/2025
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