Most Relevant Information
Provider Data
| NPI Number: | 1003404971 |
| Provider Name: | KAITLYN ANN SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 12444 |
Most Important Dates
| Enumeration Date: | 01/06/2021 |
| Last Updated: | 01/06/2021 |
Provider Practice Location
230 E 22ND ST STE 4
FREMONT
NE
680252661
Practice Location Phone/Fax
| Phone: | 4027271592 |
| Fax: |
Provider Mailing Location
1941 S 42ND ST STE 328
OMAHA
NE
681052943
Provider Mailing Phone/Fax
| Phone: | 4026148444 |
| Fax: |