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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TINA C SMITH
107 CRANES ROOST CT
ELIZABETHTOWN, KY42701-3650
 Phone: 270-765-2605
 Fax: 270-234-8572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for TINA C SMITH · (Female)

NPI Number 1629111091
Credentials
Entity Individual
Enumeration date 02/15/2007
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
KY License # 1108131
KY Medicaid 30605018
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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