Individual
MRS. TARA NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
308 BLUNT FORD RD, ADOLPHUS, KY 42120-8719
(270) 622-9418
Mailing address
308 BLUNT FORD RD, ADOLPHUS, KY 42120-8719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1139739
KY
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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