| Doctor Name: | CHERYL L SMITH |
| NPI Number: | 1063512861 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 454 PBQ |
| Business Practice Address: | 4891 W Chambers Rd Mcalester, OK - 745011761 |
| Business Phone Number: | 9184263066 |
| Business Fax Number: | 9184236781 |
| Mailing Address: | 4891 W Chambers Rd, MCALESTER |
| State: | OK |
| Postal Code: | 745011761 |
| Phone Number: | 9184263066 |
| Fax Number: | 9184236781 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | 454 PBQ |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |