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Individual

CLIFFORD C SMITH III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
203 S WATER ST, LOUISA, KY 41230-1347
(606) 649-2211
(606) 638-1399
Mailing address
203 S WATER ST, LOUISA, KY 41230-1347
(606) 649-2211
(606) 638-1399

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04144
KY
207Q00000X
Family Medicine Physician
TP941
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100464740
KY
Enumeration date
06/30/2014
Last updated
04/13/2026
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