Organization
SMITH SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA K SMITH KCSA (PRESIDENT)
(336) 623-4545
Entity
Organization
Contact information
Practice address
3029 WEDGEWOOD WAY, LOUISVILLE, KY 40220-1731
(502) 648-0213
(336) 623-6141
Mailing address
PO BOX 148, EDEN, NC 27289-0148
(336) 623-4545
(336) 623-6141
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA218
KY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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