Provider Demographics
NPI:1730376088
Name:SMITH, KAREN D (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:1118 ROSS CLARK CIR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3001
Mailing Address - Country:US
Mailing Address - Phone:334-794-3192
Mailing Address - Fax:334-792-7513
Practice Address - Street 1:1118 ROSS CLARK CIR
Practice Address - Street 2:SUITE 303
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3001
Practice Address - Country:US
Practice Address - Phone:334-794-3192
Practice Address - Fax:334-792-7513
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1-074547207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine