Individual
WILLIAM D SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4085
(502) 647-4098
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 647-4085
(502) 647-4098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3002895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200902460A
—
IN
05
—
7100045920
—
KY
Enumeration date
10/27/2006
Last updated
04/10/2013
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