Individual
DR. COLLIN P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3165 BEAUMONT CENTRE CIR STE 130, LEXINGTON, KY 40513-1966
(859) 219-1014
Mailing address
3165 BEAUMONT CENTRE CIR STE 130, LEXINGTON, KY 40513-1966
(859) 219-1014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2496756
KY
111N00000X
Chiropractor
Primary
5040
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11696849
CAQH NO.
KY
Enumeration date
02/15/2007
Last updated
04/07/2020
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