Individual
DR. KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2118 25TH ST STE C, COLUMBUS, IN 47201-3240
(812) 372-8426
(812) 378-7777
Mailing address
4832 TIMBER RIDGE DR, COLUMBUS, IN 47201-8810
(123) 422-4958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057282
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330916
BLUE CROSS
IN
01
—
000000984122
ANTHEM PIN
IN
01
—
040518
SIHO
IN
01
—
1518068527
GROUP NPI
—
05
—
200122370
—
IN
01
—
351907774014
TRICARE
IN
01
—
351907774116
CARESOURCE
IN
01
—
351907774NS
DONLEY
IN
Enumeration date
09/01/2006
Last updated
06/12/2025
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