Most Relevant Information
Provider Data
| NPI Number: | 1003232612 |
| Provider Name: | EMILY KD SMITH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA4953 |
Most Important Dates
| Enumeration Date: | 03/07/2014 |
| Last Updated: | 11/15/2021 |
Provider Practice Location
172 KINSLEY ST
NASHUA
NH
030603648
Practice Location Phone/Fax
| Phone: | 6035789363 |
| Fax: | 6035789539 |
Provider Mailing Location
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON
ME
042437291
Provider Mailing Phone/Fax
| Phone: | 2077778695 |
| Fax: | 2077778800 |