Individual
HEATHER LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8690
(513) 475-7593
Mailing address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8690
(513) 475-8690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072185
—
OH
05
—
7100221260
—
KY
Enumeration date
07/09/2012
Last updated
05/08/2014
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