Individual
MS. KATHLEEN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 466-5910
(757) 466-1611
Mailing address
850 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 466-5910
(757) 466-1611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024069582
VA
Other
Enumeration date
02/22/2006
Last updated
07/30/2008
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