Individual provider · Type 1 NPI
Kristen Smith
Diagnostic Radiology Physician · Santa Rosa, CA
NPI number
1528660883
Active
Practice location
401 Bicentennial Way
Santa Rosa, CA 95403-2149
Mailing address
8512 San Marcos Dr
Knoxville, TN 37938-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 00112285 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1528660883
Kristen Smith's National Provider Identifier is 1528660883, issued on Nov 12, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 12, 2020.