| Dr Carolyn A Smidt, DC | |
|
202 W Kenwood Way, Louisville, KY 40214-2132 | |
| (502) 363-4364 | |
| (502) 363-4364 |
| Full Name | Dr Carolyn A Smidt |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 202 W Kenwood Way, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275750952 | NPI | - | NPPES |
| 000000112317 | Other | KY | ANTHEM PROVIDER NUMBER |
| 0004306869 | Other | KY | PROVIDER PIN NUMBER AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2417 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carolyn A Smidt, DC 202 W Kenwood Way, Louisville, KY 40214-2132 Ph: (502) 363-4364 | Dr Carolyn A Smidt, DC 202 W Kenwood Way, Louisville, KY 40214-2132 Ph: (502) 363-4364 |
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