Individual
JAMES L. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
Mailing address
PO BOX 33087, KNOXVILLE, TN 37930-3087
(865) 691-2993
(865) 691-2997
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1105192/ARNP4469A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386493
ANTHEM BCBS KY
KY
01
—
1226258
CHA HEALTH
KY
05
—
74008723
—
KY
Enumeration date
06/02/2006
Last updated
07/09/2007
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