Individual
MRS. ANITA ELVIRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 WASHINGTON ST, SHELBYVILLE, KY 40065-1131
(502) 647-4668
Mailing address
615 WASHINGTON ST, SHELBYVILLE, KY 40065-1131
(502) 647-4668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006778
KY
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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