Individual
RONALD GENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
57 BROOKSIDE ST, PRESTONSBURG, KY 41653-1714
(606) 874-1592
Mailing address
57 BROOKSIDE ST, PRESTONSBURG, KY 41653-1714
(606) 874-1592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-002286
KY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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