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NPI Code Detail

MEDICARE: KATHY W SMITH MD PLLC

MEDICARE: KATHY W SMITH MD PLLC
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
12084P0800XPsychiatry Physician31269AZ

Other Identifiers

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

General Provider Information

NPI Number : 1952555716
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHY W SMITH MD PLLC
Provider Business Mailing Address
First Line : 6837 N ORACLE RD
Second Line : #14
City : TUCSON
State : AZ
Zip : 85704-4222
Country : US
Telephone Number : 520-297-7001
Fax Number : 520-297-7002
Provider Business Practice Location Address
First Line : 6837 N ORACLE RD
Second Line : #14
City : TUCSON
State : AZ
Zip : 85704-4222
Country : US
Telephone Number : 520-297-7001
Fax Number : 520-297-7002
Authorized Official
Title or Position : MD OWNER PROVIDER
Name : KATHY W SMITH
Credential : MD
Telephone Number : 520-297-7001
Provider Enumeration Date : 11/06/2008
Last Update Date : 11/06/2008

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