Individual
KATHERYN M SMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28276 KENSINGTON LN, PERRYSBURG, OH 43551-4178
(419) 843-4422
Mailing address
28276 KENSINGTON LN, PERRYSBURG, OH 43551-4178
(419) 843-4422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074631S
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35.074631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142295
ANTHEM
OH
01
—
03558
PARAMOUNT
OH
01
—
110211982
RAILROAD MEDICARE
OH
05
—
2113724
—
OH
Enumeration date
12/22/2005
Last updated
05/21/2025
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