Individual
MICHELE CARBONELL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1920 BROADWAY ST, PADUCAH, KY 42001-7106
(270) 442-3647
(270) 442-3777
Mailing address
1920 BROADWAY ST, PADUCAH, KY 42001-7106
(270) 442-3647
(270) 442-3777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006843
KY
363LF0000X
Family Nurse Practitioner
3006843
KY
Other
Enumeration date
02/15/2011
Last updated
12/08/2020
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