Organization
FAMILY PHYSICIAN ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R SMITH MD (MD)
(502) 633-3525
Entity
Organization
Contact information
Practice address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Mailing address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054303
PASSPORT
KY
05
—
65900011
—
KY
Enumeration date
10/17/2005
Last updated
03/25/2009
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