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Individual

ELAINE MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
3001 W HIGHWAY 146, LA GRANGE, KY 40032-0001
(502) 222-9441
(502) 222-7760
Mailing address
3001 W HIGHWAY 146, LA GRANGE, KY 40032-0001
(502) 222-9441
(502) 222-7760

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1072757
KY
363LF0000X
Family Nurse Practitioner
Primary
3007703
KY

Other

Enumeration date
09/27/2012
Last updated
03/27/2013
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