ELISSA SMITH

LIBERTY, KY
NPI1750576559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: KY  KY-R3448)
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
-- ELISSA SMITH OTR/L
745 CAMPBELLSVILLE ST
LIBERTY, KY 42539-3107
Phone number: 606-706-0304
Mailing Address
-- ELISSA SMITH OTR/L
PO BOX 776
LIBERTY, KY 42539-0776
Phone number: 606-787-6337