Smith's Hometown Family Practice, LLC
NPI #1275934614 in Manchester, Kentucky
Provider Information
- NPI Number
- 1275934614
- Entity Type
- Organization
- Organization Name
- Smith's Hometown Family Practice, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 4, 2014
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 359 OLD US HIGHWAY 421
- City
- Manchester
- State
- Kentucky
- ZIP Code
- 40962-7538
- Phone
- (606) 599-8905
Authorized Official
- Name
- SHAWANA M.L. SMITH, APRN
- Title
- OWNER
- Phone
- (606) 599-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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