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Individual

MS. KRYSTAL MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, CNM

Contact information

Practice address
606 BRANCH CT, INDEPENDENCE, KY 41051-9071
(859) 620-2982
Mailing address
606 BRANCH CT, INDEPENDENCE, KY 41051-9071
(859) 620-2982

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3016387
KY

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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