Individual
DANA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
614 E CHESTNUT ST, LOUISVILLE, KY 40202-1604
(502) 589-9488
Mailing address
8501 HARRODS BRIDGE WAY UNIT 102, PROSPECT, KY 40059-7633
(912) 571-9220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN150542
GA
Other
Enumeration date
12/17/2008
Last updated
07/06/2011
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