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Individual
GARY A SMITH
Active
Individual
GARY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003886
KY
363LF0000X
Family Nurse Practitioner
3003886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000732995
BCBS
KY
05
—
7100157310
—
KY
01
—
P00956479
RAILROAD MEDICARE
KY
Enumeration date
10/25/2005
Last updated
05/22/2015
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