Smith, Katina D

Smith, Katina D is an individual health care provider with primary practice located at 450 N New Ballas Rd Ste 204 , Saint Louis MO 63141-6836. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Katina D can be contacted via phone (314) 991-0137.

Contact Information

Primary practice address
450 N New Ballas Rd Ste 204 Saint Louis MO 63141-6836
Phone: (314) 991-0137
Fax: (314) 991-0603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2019015725 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2019015725 Missouri

Profile Details

NPI number 1245896893
LBN Legal business name Smith, Katina D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2019
Last updated Dec 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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