Individual
DR. CLIFTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 BURT RD, LEXINGTON, KY 40503-2410
(859) 276-1511
(859) 276-3373
Mailing address
177 BURT RD, LEXINGTON, KY 40503-2410
(859) 276-1511
(859) 276-3373
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
16726
KY
207NS0135X
Procedural Dermatology Physician
Primary
16726
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64167265
—
KY
Enumeration date
02/15/2006
Last updated
01/06/2009
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