Individual
JILLIAN KENNEDY SMITH
Active
Individual
JILLIAN KENNEDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD452016
PA
2086X0206X
Surgical Oncology Physician
Primary
MD24706
ME
2086X0206X
Surgical Oncology Physician
MD452016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031635120001
—
PA
05
—
1031635120002
—
PA
Enumeration date
07/31/2007
Last updated
04/16/2026
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