Individual
BENJAMIN PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 DIXIE HWY STE N, FT WRIGHT, KY 41011-2792
(859) 341-6255
(859) 547-1197
Mailing address
2139 AUBURN AVENUE, ATTN: PAYOR ENROLLMENT 4-7, CINCINNATI, OH 45219
(513) 351-9900
(513) 366-4491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58517
KY
Other
Enumeration date
07/24/2014
Last updated
09/22/2023
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