TEVIS CLARK SMITH

BOWLING GREEN, KY
NPI1902312804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  119117)
Enumeration Date2017-12-14
Last Update Date2017-12-14
Business Address
TEVIS CLARK SMITH CRNA, RN
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-745-1000
Mailing Address
TEVIS CLARK SMITH CRNA, RN
680 RALPH MORRIS RD
GLASGOW, KY 42141-9647
Phone number: 270-670-5267
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