Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kathleen Smith, RN

Individual provider Registered Nurse · NPI 1760707764

Mrs. Kathleen Smith, RN is a Registered Nurse in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

14 Shorehaven Blvd
Lake Ronkonkoma, NY 11779-2719
Phone: (631) 471-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 456935 (NY)

Record details

NPI number1760707764
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 1, 2010
Last updated in NPPESApril 1, 2010

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