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Individual
CHRISTOPHER M SMALLEY
Active
Individual
CHRISTOPHER M SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36602
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000765744
ANTHEM - NCMA
KY
01
—
090778
SIHO - NCMA
KY
01
—
50037757
PASSPORT - NCMA - BULLITT
KY
01
—
50037759
PASSPORT - NCMA - LOUISVILLE
KY
05
—
64059066
—
KY
01
—
P01050143
RAILROAD MEDICARE
KY
Enumeration date
11/16/2005
Last updated
01/22/2021
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