Individual
MRS. CHIAMAKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9880 ANGIES WAY STE 420, LOUISVILLE, KY 40241-2850
(502) 394-6200
(502) 394-6210
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9411
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018179
KY
363LP2300X
Primary Care Nurse Practitioner
3018179
KY
Other
Enumeration date
08/18/2022
Last updated
12/27/2022
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