Individual
MRS. VICKI A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
704 BLOOMFIELD RD, BARDSTOWN, KY 40004-2025
(502) 331-5478
(502) 348-9825
Mailing address
704 BLOOMFIELD RD, BARDSTOWN, KY 40004-2025
(502) 331-5478
(502) 348-9825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000693
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001056340
ANTHEM
KY
05
—
7100447090
—
KY
Enumeration date
01/12/2007
Last updated
04/13/2017
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