Individual
MARY KATHRYN SMENTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432575
—
CT
05
—
0763177
—
IA
01
—
12 03867
MEDICA
MN
01
—
135991
UCARE
MN
05
—
277140100
—
MN
01
—
284
AMERICAS PPO
MN
01
—
295C2SM
BCBS
MN
01
—
HP75350
HEALTH PARTNERS
MN
01
—
NA2951049098
PREFERRED ONE
MN
Enumeration date
11/17/2005
Last updated
07/15/2020
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