Celeste Smith

Individual provider Active NPI Community Health Worker · Sandy Hook, KY

NPI 1730804378 · NPPES record last updated Oct 6, 2022

Key facts

NPI
1730804378
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
374 N Ky 7
Sandy Hook, KY 41171-7938
Phone
(606) 738-6163
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

374 N Ky 7
Sandy Hook, KY 41171-7938

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone (160) 632-9858

Other providers in Sandy Hook, KY

All providers in Sandy Hook, KY · Community Health Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.