Individual
LINNEA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 RING RD, ELIZABETHTOWN, KY 42701-8968
(270) 765-2107
(270) 769-9642
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000050966
ANTHEM / NCMA
—
01
—
000023044E
HUMANA / NCMA
—
01
—
024725
SIHO / NCMA
—
01
—
1148357
PASSPORT / NCMA
—
01
—
1193945
CHA / NCMA
—
01
—
12438449000
PASSPORT ADVANTAGE / NCMA
—
01
—
4177269001
CIGNA / NCMA
—
05
—
64322431
—
KY
Enumeration date
04/19/2006
Last updated
10/05/2022
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