Provider Demographics
NPI:1912022153
Name:SMITH, KRISTIN (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:SMITH
Other - Last Name:WOLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:343 ADAMIK RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15322-7395
Mailing Address - Country:US
Mailing Address - Phone:724-986-5858
Mailing Address - Fax:724-883-3985
Practice Address - Street 1:343 ADAMIK RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15322-7395
Practice Address - Country:US
Practice Address - Phone:724-986-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2086207P00000X
PAOS014061207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine