Individual
KATHIE G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
111 N HARDIN, ASHLAND, IL 62612-0385
(217) 476-6547
(217) 476-3546
Mailing address
PO BOX 385, 111 N HARDIN, ASHLAND, IL 62612-0385
(217) 476-6547
(217) 476-3546
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982005
BLUE CROSS BLUE SHIELD OF
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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