Individual
DERICK E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 MINNOW POND RD, SOMERSET, KY 42503-5063
(606) 219-5367
Mailing address
78 MINNOW POND RD, SOMERSET, KY 42503-5063
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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