Individual
ALBERT J SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21947
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560606
BLUE CROSS - ST CLAIRE REGIONAL MEDICAL CENTER
KY
05
—
64219470
—
KY
Enumeration date
08/31/2006
Last updated
06/30/2008
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