Individual
DR. RYAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 NEW MOODY LANE, LAGRANGE, KY 40031
(502) 222-5388
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11013843A
IN
207P00000X
Emergency Medicine Physician
Primary
43724
KY
Other
Enumeration date
08/27/2007
Last updated
01/26/2015
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