Individual
DR. JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
53115
KY
Other
Enumeration date
06/12/2013
Last updated
01/30/2020
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