Individual
ALBERT J SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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