Individual
JONATHAN TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
Mailing address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57924
KY
Other
Enumeration date
03/21/2018
Last updated
08/06/2024
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