Individual
MS. DESTINEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 DANNYBOY LN, LOUISVILLE, KY 40214-4214
(502) 216-1071
Mailing address
5400 DANNYBOY LN, LOUISVILLE, KY 40214-4214
(502) 216-1071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2053284
KY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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