Individual provider · Type 1 NPI

Katie Grace Smyth, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1104459718 Active

Practice location

770 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-8621

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009773 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104459718

Katie Grace Smyth, PA-C's National Provider Identifier is 1104459718, issued on Feb 21, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 11, 2026.