NPI 1003068628

Katie Marie Smith, PAC

Practitioner Medical Physician Assistant Evergreen, CO

Practice location

Address: 32214 Ellingwood Trl Suite #210, Evergreen, CO 80439-9779
Phone: (303) 679-2020

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 2609 (CO)

Other Physician Assistant providers in Colorado →

Registry record

NPI: 1003068628
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2008
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.