Individual
MRS. ELIZABETH R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-0001
(859) 257-3533
(859) 257-6024
Mailing address
740 SOUTH LIMESTONE, SUITE B200, LEXINGTON, KY 40536
(859) 257-3533
(859) 257-6024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA250
KY
363AM0700X
Medical Physician Assistant
PA250
KY
363AS0400X
Surgical Physician Assistant
PA250
KY
Other
Enumeration date
11/22/2005
Last updated
07/21/2022
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