Most Relevant Information
Provider Data
| NPI Number: | 1003494493 |
| Provider Name: | CIARA G. SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 03/29/2021 |
Provider Practice Location
245 FOUNTAIN CT
LEXINGTON
KY
405091810
Practice Location Phone/Fax
| Phone: | 8593236861 |
| Fax: | 8593231194 |
Provider Mailing Location
245 FOUNTAIN CT STE 215
LEXINGTON
KY
405091810
Provider Mailing Phone/Fax
| Phone: | 8593236861 |
| Fax: | 8593231194 |