Doctor Name: | KIM S SMITH |
NPI Number: | 1811187826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | |
Business Practice Address: | 9580 Refugee Rd Sw Pataskala, OH - 430628628 |
Business Phone Number: | 7409646246 |
Business Fax Number: | |
Mailing Address: | 9580 Refugee Rd Sw, PATASKALA |
State: | OH |
Postal Code: | 430628628 |
Phone Number: | 7409646246 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |