# CHRISTOPHER M SMALLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326020272
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 36602 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 01/22/2021

## 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 |