Jason Smith
Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).
NPI number1982016648
StatusActive
Last updated in NPPESMay 28, 2014
Details
- NPI
- 1982016648
- Entity type
- Individual (NPI-1)
- Name
- Jason Smith
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2014
- Last updated
- May 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
8809 Furlong Dr Apt 3Louisville, KY 40242-7510
Phone 631-804-2672
Mailing address
8809 Furlong Dr Apt 3Louisville, KY 40242-7510
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