Individual
REBECCA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2416 REGENCY ROAD, LEXINGTON, KY 40503
(859) 278-1316
(859) 276-3847
Mailing address
PO BOX 737100, CHICAGO, IL 60673-6374
(317) 706-7246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1052179
KY
363L00000X
Nurse Practitioner
Primary
3007571
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3007571
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100219180
—
KY
Enumeration date
06/11/2012
Last updated
06/15/2026
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