Individual
KATHRYN EVANS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
148 13TH ST SW, #200, LARGO, FL 33770-3127
(727) 450-3030
(727) 450-3031
Mailing address
444 WINDING WILLOW DR, PALM HARBOR, FL 34683-5835
(727) 785-5394
(727) 785-6314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1859422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302960300
—
FL
01
—
G1033
BCBS
FL
01
—
P00013477
RAILROAD MEDICARE
—
Enumeration date
12/07/2005
Last updated
07/08/2007
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