IndividualActive
Amy Smith, PA
NPI 1306417993 · Physician Assistant · La Grange, KY
Provider details
- NPI number
- 1306417993
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA2906 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1025 New Moody Ln
La Grange, KY 40031-9154
Phone: (502) 222-5388
Approximate (ZIP-level) locationGet directions
Mailing address
507 Langholm Pl
Louisville, KY 40243-1229
Additional practice locations (1)
- 535 Wellington Way Ste 330Lexington, KY 40503-1331Phone: (859) 439-0400
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.