Individual
REBECCA KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA, KCSA
Contact information
Practice address
3029 WEDGEWOOD WAY, LOUISVILLE, KY 40220-1731
(502) 648-0213
Mailing address
3029 WEDGEWOOD WAY, LOUISVILLE, KY 40220-1731
(502) 648-0213
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA218
KY
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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