Provider Demographics
NPI:1265507016
Name:SMITH, DARREN LAMONT (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:LAMONT
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DOLWICK DR
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-3231
Mailing Address - Country:US
Mailing Address - Phone:859-334-0661
Mailing Address - Fax:
Practice Address - Street 1:700 DOLWICK DR
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-3231
Practice Address - Country:US
Practice Address - Phone:859-334-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5014111N00000X
KY249653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor