Individual
DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
332 W BROADWAY STE 216, LOUISVILLE, KY 40202-2131
(502) 296-5440
(844) 269-9707
Mailing address
332 W BROADWAY STE 216, LOUISVILLE, KY 40202-2131
(502) 296-5440
(844) 269-9707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100157930
—
KY
Enumeration date
05/27/2010
Last updated
10/08/2015
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