Healthcare Provider Details

I. General information

NPI: 1205263886
Provider Name (Legal Business Name): KRISTINA FAITH SMITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE SUITE 5200
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

222 PIEDMONT AVE SUITE 5200
CINCINNATI OH
45219-4231
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8400
  • Fax: 513-475-8228
Mailing address:
  • Phone: 513-475-8400
  • Fax: 513-475-8228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberRN373826
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: