Individual
CINDY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439
(937) 293-2133
Mailing address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439-1948
(937) 293-2133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.007138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990189
—
OH
Enumeration date
07/29/2005
Last updated
02/25/2019
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