Individual
DEMETRIA NAKIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 565-9815
Mailing address
10914 WORTHINGTON LN, PROSPECT, KY 40059-9590
(502) 565-9815
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1179097
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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