Individual
MRS. KAITLIN KEELER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
800 MONTCLAIR RD, BIRMINGHAM, AL 35213-1908
(205) 592-1401
Mailing address
800 MONTCLAIR RD, BIRMINGHAM, AL 35213-1908
(205) 592-1401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001184
GA
363A00000X
Physician Assistant
Primary
PA 717
AL
Other
Enumeration date
01/19/2007
Last updated
09/10/2013
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