Provider Demographics
NPI:1821281890
Name:SMITH, KATHY PYLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:PYLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:LYNN
Other - Last Name:PYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:VA MEDICAL CENTER; MAIL CODE 112K
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:352-376-1611
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:VA MEDICAL CENTER; MAIL CODE 112K
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2177932363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health