Individual
DR. MICHELLE DEANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
227 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-5640
(270) 886-5371
Mailing address
102 W 18TH ST, HOPKINSVILLE, KY 42240-1961
(270) 707-2100
(270) 707-2103
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
26593
SC
207NS0135X
Procedural Dermatology Physician
Primary
54389
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265938
—
SC
Enumeration date
02/17/2006
Last updated
09/21/2020
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