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Individual
BRODRICK DARREN SMITH
Active
Individual
BRODRICK DARREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4024541
KY
363L00000X
Nurse Practitioner
Primary
4024541
KY
363LF0000X
Family Nurse Practitioner
19388
SC
Other
Enumeration date
03/31/2015
Last updated
11/19/2024
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