Individual
JASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8809 FURLONG DR APT 3, LOUISVILLE, KY 40242-7510
(631) 804-2672
Mailing address
8809 FURLONG DR APT 3, LOUISVILLE, KY 40242-7510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
About Stedi
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