Individual
DANIEL DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 757-2927
Mailing address
9009 WESTVIEW RD, BROOKVILLE, IN 47012-8861
(765) 309-4801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4024820
KY
Other
Enumeration date
08/14/2024
Last updated
09/04/2024
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