Individual
MRS. PAMELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
48 INDEPENDENCE DR, HAZARD, KY 41701-9443
(606) 487-1646
(606) 487-1746
Mailing address
138 PEGGY LN, CHAVIES, KY 41727-9201
(606) 373-4921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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