Individual
RODNEY TRAVIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
215 TREUHAFT BLVD, SUITE 2, BARBOURVILLE, KY 40906-7361
(606) 545-0400
(606) 545-0433
Mailing address
PO BOX 518, BARBOURVILLE, KY 40906-0518
(606) 545-0400
(606) 545-0433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4069P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78011186
—
KY
01
—
P00259831
RAILROAD MEDICARE
KY
Enumeration date
06/06/2006
Last updated
07/26/2024
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