Individual
KATHRYN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 874-3505
Mailing address
28 QUINN ST, STAFFORD SPRINGS, CT 06076-1132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2941
CT
Other
Enumeration date
07/30/2013
Last updated
01/13/2023
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