Individual
MRS. JAN MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
117 BEAR RUN RD, RICHMOND, KY 40475-8004
(606) 663-0435
Mailing address
117 BEAR RUN RD, RICHMOND, KY 40475-8004
(606) 663-0435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07-072
KY
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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