Individual
BRYAN PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 835-1754
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.185956
OH
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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