MEDICARE: KATHLEEN SMITH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	R59329	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386626950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN SMITH ARNP

Provider Business Mailing Address
First Line	:	4401 W MEMORIAL RD
Second Line	:	STE 121
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1785
Country	:	US
Telephone Number	:	405-751-4664
Fax Number	:	405-749-4557

Provider Business Practice Location Address
First Line	:	1011 14TH AVE NW
Second Line	:	ER DEPT
City	:	ARDMORE
State	:	OK
Zip	:	73401-1828
Country	:	US
Telephone Number	:	800-749-4560
Fax Number	:	405-749-4557

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1780675322 — ASHRAF S HABIB MD
Practice Location Address:

1011 14TH AVE NW , ER DEPT.
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6415
Practice Fax: 405-749-4561

1295717866 — DEVIN LYNN PEERY ARNP
Practice Location Address:

1011 14TH AVE NW
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6658
Practice Fax: 580-220-6673

1801858931 — MERCY MEMORIAL EMERGENCY PHYSICIANS PC
Practice Location Address:

1011 14TH AVE NW , ER DEPT.
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6415
Practice Fax: 405-749-4561

1477515484 — NOLEN DALE ANDERSON DO
Practice Location Address:

1011 14TH AVE NW
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6658
Practice Fax: 580-220-6673

1891757860 — CHARLES DEWAYNE BLACK D.O.
Practice Location Address:

1011 14TH AVE NW , ER DEPT.
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6415
Practice Fax: 405-749-4561

1710940366 — KIMBER ANDERSON WARD III M.D.
Practice Location Address:

1011 14TH AVE NW , ER DEPT.
ARDMORE, OK
73401-1828

Practice Phone: 580-220-6415
Practice Fax: 405-749-4561

Directions to “ KATHLEEN SMITH ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.