Individual
KATELAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
300 E MCBEE AVE, FL 4, GREENVILLE, SC 29601-2842
(843) 453-1433
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
213277
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21006
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2751
—
SC
Enumeration date
10/17/2016
Last updated
02/24/2022
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