Kathleen Smith MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01057282A Issued in IN

Legal business name

KATHLEEN SMITH MD, LLC

Practice address

3015 10TH St
Columbus, IN 47201-6603

Phone

(317) 346-5412

Fax

(317) 736-3548

NPI assigned

May 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna Gabbard

Title

Manager

Phone

(317) 346-5412

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1346533700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461315233",
            "telephone_number": "317-346-5412",
            "fax_number": "317-736-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 10TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016603",
            "telephone_number": "317-346-5412",
            "fax_number": "317-736-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN SMITH MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "GABBARD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-346-5412",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057282A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Baldeep Kaur, M.D.
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• Danielle Keach, NP
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• Emily Keith, RBT

• Family Medicine Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.