Individual
JANET LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22450
KY
207RC0000X
Cardiovascular Disease Physician
Primary
22450
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044935
ANTHEM PIN
KY
01
—
000000693033
ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
000057080S
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
—
100014390
—
IN
05
—
100388540A
—
IN
05
—
100388540F
—
IN
01
—
1056156
PASSPORT PIN
KY
01
—
2433847000
PASSPORT ADVANTAGE PIN
KY
05
—
64224504
—
KY
01
—
P00893018
PASSPORT- CTS
KY
Enumeration date
06/28/2006
Last updated
11/21/2023
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