Individual
REBECCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4652 HATHWAY DR, LEXINGTON, KY 40515-1548
(650) 773-2188
Mailing address
4652 HATHWAY DR, LEXINGTON, KY 40515-1548
(650) 773-2188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1158408
KY
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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