Kathryn Smith, CNP | |
1700 Highway 25 N, Buffalo, MN 55313-1930 | |
(763) 682-1313 | |
Not Available |
Full Name | Kathryn Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1700 Highway 25 N, Buffalo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770032773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP 4825 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
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Kathryn Smith, CNP 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313 | Kathryn Smith, CNP 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313 |
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