Individual
MS. KATHRYN A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUDIOLOGISTS
Contact information
Practice address
1605 S 28TH AVE, HATTIESBURG, MS 39402-3110
(601) 579-3310
(601) 264-0231
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3310
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3087
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02086206
—
MS
01
—
3151998
UNITED HEALTHCARE
MS
01
—
4656554
CIGNA
MS
01
—
9574868
AETNA
MS
Enumeration date
12/12/2006
Last updated
08/07/2020
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