Healthcare Provider Details

I. General information

NPI: 1679582928
Provider Name (Legal Business Name): KATHERINE HESTER SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 COMMON ST
NEW ORLEANS LA
70112-2401
US

IV. Provider business mailing address

1010 COMMON ST
NEW ORLEANS LA
70112-2401
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-3130
  • Fax:
Mailing address:
  • Phone: 504-568-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number025520
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: