Smith, Connie
Smith, Connie is an individual health care provider with primary practice located at 209 North Maysville Road Suite 200, Mount Sterling KY 40353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Connie can be contacted via phone (859) 404-7686.Contact Information
Primary practice address
209 North Maysville Road Suite 200
Mount Sterling KY 40353
Phone: (859) 404-7686
Fax: (859) 274-0785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006148 | Kentucky |
Profile Details
| NPI number | 1619107976 |
|---|---|
| LBN Legal business name | Smith, Connie |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Jan 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619107976 | NPPES |
| Kentucky | Other | 12028306 | CAQH |
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