NPI 1376900084 · live from the CMS NPI Registry
Katherine Smyth Atwood, PA-C
Physician Assistant, Medical in Sebastian, FL. National Provider Identifier 1376900084, active.
NPI record
| NPI | 1376900084 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 7765 144th St Unit 1, Sebastian, FL 32958 |
| Practice phone | 723-883-5577 |
| Mailing address | 2845 Pga Blvd, Palm Beach Gardens, FL 33410 |
| Enumerated | January 26, 2016 |
| Last updated | August 22, 2022 |
| Sole proprietor | No |
| Other names | Katherine Smyth |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | PA9109329 (FL) |
| Physician Assistant, Medical primary | 363AM0700X | PA9109329 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.