Individual
CONNIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
209 NORTH MAYSVILLE ROAD, SUITE 200, MOUNT STERLING, KY 40353
(859) 404-7686
(859) 274-0785
Mailing address
PO BOX 1328, MOUNT STERLING, KY 40353-5328
(859) 404-7686
(859) 274-0785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12028306
CAQH
KY
Enumeration date
07/21/2009
Last updated
01/17/2013
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