NPI 1023521317

Mary Ann Smith, APRN

Practitioner General Practice Physician Southgate, KY

Practice location

Address: 2306 Alexandria Pike, Southgate, KY 41071-3234
Phone: (589) 816-0775
Mailing address: 101 Jerome CT, Cold Spring, KY 41076-3522

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 3010988 (KY)

Other General Practice providers in Kentucky →

Registry record

NPI: 1023521317
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2017
Record last updated: 9 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.