Gregory D. Smith

NPI 1477703619 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1477703619
Enumeration Date 09/24/2008
Last Updated 10/21/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GREGORY D. GREGORY
Position OWNER
Phone (270) 765-5926
Fax (270) 763-0051
Practice Location
2412 RING RD STE 200
ELIZABETHTOWN KY, 42701-5913, US
Phone (270) 765-5926
Fax (270) 763-0051
Business Location
53 MAYAPPLE LN
ELIZABETHTOWN KY, 42701-8944, US
Phone (270) 765-5926
Fax (270) 763-0051
Toxanomy
Taxonomy Code 363LF0000X
License State Kentucky
License Number 3007523
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According to our database, Gregory D. Smith NPI is 1477703619, taxonomy code is 363LF0000X and license number is 3007523, license state is located at Kentucky. Gregory D. Smith physically located at 2412 Ring Rd Ste 200, Elizabethtown KY, 42701-5913. NPI Number 1033115704 has the healthcare provider type.

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1477703619 NPI number is provided on an as is basis without warranty of any kind. 1477703619 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory D. Smith are for informational purposes only.