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Individual
ALYSSA JANE SMITH
Active
Individual
ALYSSA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
58004
KY
207Y00000X
Otolaryngology Physician
A202430
CA
207Y00000X
Otolaryngology Physician
TP439
KY
207YP0228X
Pediatric Otolaryngology Physician
58004
KY
207YP0228X
Pediatric Otolaryngology Physician
Primary
A202430
CA
207YP0228X
Pediatric Otolaryngology Physician
TP439
KY
Other
Enumeration date
03/24/2017
Last updated
07/01/2025
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