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MARCIA SMITH

Nursing Service Providers Registered Nurse Addiction (Substance Use Disorder)

Provider NPI: 1972751055

Provider Information:
 MARCIA  SMITH 
Gender: F
Not Sole Proprietor

Practice Location:
600 S PRESTON ST  LOUISVILLE, KY 40202-1716 US
Tel: 508-589-8600  Fax: 502-589-8771

Business Mailing Address:
101 W MUHAMMAD ALI BLVD  LOUISVILLE, KY 40202-1423 US
Tel: --  Fax: --

NPI Information:
NPI: 1972751055
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WA0400XNursing Service Providers
Registered Nurse
Addiction (Substance Use Disorder)
KY1086771

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WA0400X

Type:

Classification:



Definition:



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