; NPI #1063952786

Contact Information

KIRSTIE DUCHARME SMITH

911 S CHARLES ST APT 403
BALTIMORE, MD 21230-4066

Phone: 507-358-3454
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	281PC2000X

Indicates primary specialty

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NPI Profile & details for

NPI # 1063952786

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 02/28/2017

Last updated 02/28/2017 - About 9 years ago

Identifiers

License #

DX3886

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Children

NPI Profile & details for

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