Individual
BRETT MARVIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701
(606) 449-6600
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2427
KY
Other
Enumeration date
05/29/2018
Last updated
06/24/2021
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