Smith, Terry L
Smith, Terry L is an individual health care provider with primary practice located at 101 Town And Country Ln Ste 100 , Hazard KY 41701-9524. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Smith, Terry L can be contacted via phone (606) 439-1300.Contact Information
Primary practice address
101 Town And Country Ln Ste 100
Hazard KY 41701-9524
Phone: (606) 439-1300
Fax: (606) 439-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA955 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA955 | Kentucky |
Profile Details
| NPI number | 1710952585 |
|---|---|
| LBN Legal business name | Smith, Terry L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Apr 7th, 2022 - about 3 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 | 1710952585 | NPPES |
| Kentucky | MEDICAID | 95005930 |
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