Individual
GARY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1710 HWY 121 N. BYPASS, SUITE I, MURRY, KY 42071
(270) 226-1118
(270) 226-1119
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003886
KY
363LF0000X
Family Nurse Practitioner
3003886
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000732995
BCBS
KY
05
—
7100157310
—
KY
01
—
P00956479
RAILROAD MEDICARE
KY
Enumeration date
10/25/2005
Last updated
05/22/2015
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