Individual
DAVID ARDELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A,ED.
Contact information
Practice address
838 MINK BR, HAROLD, KY 41635-8924
(606) 791-0075
Mailing address
838 MINK BR, HAROLD, KY 41635-8924
(606) 791-0075
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
01882
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01882
CBIS # FOR FIRST STEPS
KY
Enumeration date
03/01/2007
Last updated
07/08/2007
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