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Individual

EMILY C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 MEDICAL VILLAGE DR, 20 MEDICAL VILLAGE DRIVE SUITE 258, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, #258 INDEPENDENT ANESTHESIOLOGY PSC, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1099535
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000384011
ANTHEM B SHIELD
05
200811460
IN
05
2653936
OH
05
74011164
KY
Enumeration date
07/25/2006
Last updated
09/10/2013
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