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NPI Code Detail

MEDICARE: DIANA SMITH

MEDICARE: DIANA SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427156439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA SMITH
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0790
Country : US
Telephone Number : 606-329-8588
Fax Number : 606-329-8195
Provider Business Practice Location Address
First Line : 201 22ND ST
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7803
Country : US
Telephone Number : 606-324-1141
Fax Number : 606-325-8606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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Directions to “ DIANA SMITH ” Practice Location

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