Individual
JENNIFER J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.,C.
Contact information
Practice address
512 E STEPHENS ST, MIDWAY COLLEGE, MIDWAY, KY 40347-1112
(859) 846-5806
Mailing address
159 BERKSHIRE LN, GEORGETOWN, KY 40324-8818
(574) 527-8667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT601
KY
Other
Enumeration date
12/16/2005
Last updated
01/26/2012
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