Kaitlyn Marie Smith, CRNP
Internal Medicine, Medical Oncology in Philadelphia, PA. Individual provider (NPI-1).
NPI number1760106587
StatusActive
Last updated in NPPESSep 27, 2022
Details
- NPI
- 1760106587
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Marie Smith
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Sep 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | SP026325 | PA | Yes |
Practice location
925 Chestnut StPhiladelphia, PA 19107-4216
Phone 215-955-6000
Mailing address
9202 Exeter RdPhiladelphia, PA 19114-3802
Phone 215-990-5732
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