Individual provider · Type 1 NPI

Jerry Solon Smith, PA-C

Medical Physician Assistant · Paducah, KY

NPI number 1578858742 Active

Practice location

4787 Alben Barkley Drive
Paducah, KY 42002

Call (270) 442-9461 Map

Fax (270) 441-0079

Mailing address

510 Lincoln Drive
Herrin, IL 62948

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1645 (KY)

Medical Physician Assistant: Definition to come...

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About NPI 1578858742

Jerry Solon Smith, PA-C's National Provider Identifier is 1578858742, issued on Jun 15, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Paducah, KY. The record was last updated on Jun 8, 2015.