person
Katie Marie Smith, PA-C
Medical Physician Assistant in Evergreen, Colorado
NPI 1003068628

Katie Marie Smith is a Medical Physician Assistant based in Evergreen, CO and is specialized in Medical. Katie Marie Smith practices in Evergreen, CO and has the professional credentials of PA-C. The NPI Number for Katie Marie Smith is 1003068628 and holds a License No. 2609 (Colorado).

The current practice location address for Katie Marie Smith is 32214 Ellingwood Trl, Evergreen, CO and can be reached out via phone at 303-679-2020.

Location: 32214 Ellingwood Trl, Evergreen, CO, 80439-9779
person
Provider Profile Details
NPI Number
1003068628
Provider Name
Katie Marie Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
32214 Ellingwood Trl, Evergreen, CO, 80439-9779
Phone Number
303-679-2020
Fax Number
Provider Enumeration Date
10/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1082610 01 CO NCCPA
institution
Provider Business Practice Location Address Details
Address
32214 Ellingwood Trl
City
State
Zip
80439-9779
Phone Number
303-679-2020
Fax Number
person
Provider Business Mailing Address Details
Address
32214 Ellingwood Trl
City
State
Zip
80439-9779
Phone Number
303-679-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2609 (Colorado)
Definition
Definition to come...
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