# CARL E. SMITH, M.D., F.A.A.P., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053427286
- **Authorized official:** DR. CARL E. SMITH JR. M.D. (OWNER)
- **Authorized official phone:** (606) 573-1004

## Contact information

- **Practice address:** 120 PROFESSIONAL LN, SUITE 201, HARLAN, KY 40831-2600
- **Practice address phone:** (606) 573-1004
- **Practice address fax:** (606) 573-0059
- **Mailing address:** 120 PROFESSIONAL LN, SUITE 201, HARLAN, KY 40831-2600
- **Mailing address phone:** (606) 573-1004
- **Mailing address fax:** (606) 573-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 24028 | KY | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 10/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 31000953 | — | KY |