Provider Demographics
NPI:1891910964
Name:SMITH, DARRIN C (PAC)
Entity Type:Individual
Prefix:
First Name:DARRIN
Middle Name:C
Last Name:SMITH
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3750 JULIE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5018
Mailing Address - Country:US
Mailing Address - Phone:937-746-2186
Mailing Address - Fax:859-441-7144
Practice Address - Street 1:1805 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-1146
Practice Address - Country:US
Practice Address - Phone:859-441-7600
Practice Address - Fax:859-441-7144
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYPA884363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant