Individual
AMY MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1025 NEW MOODY LN, LA GRANGE, KY 40031-9154
(502) 222-5388
Mailing address
507 LANGHOLM PL, LOUISVILLE, KY 40243-1229
(502) 396-8704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2906
KY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
04/18/2022
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