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Individual

DAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
KY
101Y00000X
Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
08/08/2023
Last updated
08/08/2023
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