Individual
SAMANTHA JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 KY 225, ARTEMUS, KY 40903
(606) 627-2118
Mailing address
PO BOX 324, ARTEMUS, KY 40903-0324
(606) 627-2118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1162534
KY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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