Individual
ANGELA M SMITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
795 EASTERN BYP, MEDICAL BUILDING 2 SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
Mailing address
795 EASTERN BYP, MEDICAL BUILDING 2 SUITE 5, RICHMOND, KY 40475-2406
(859) 624-2229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA050
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215086
ANTHEM BCBS
KY
01
—
7771729
AETNA
KY
Enumeration date
06/16/2006
Last updated
12/02/2020
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