Individual
GABRIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1279 OLD ABBOTT MOUNTAIN RD, PRESTONSBURG, KY 41653-1889
(606) 886-1260
(606) 886-3590
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013080
KY
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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