Provider Demographics
NPI:1205263886
Name:SMITH, KRISTINA FAITH (RN)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:FAITH
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:222 PIEDMONT AVE
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-4231
Mailing Address - Country:US
Mailing Address - Phone:513-475-8400
Mailing Address - Fax:513-475-8228
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:SUITE 5200
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-475-8400
Practice Address - Fax:513-475-8228
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN373826207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology