Individual
DR. MICHAEL KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
104 SMOKY WAY, SUITE 100, DANVILLE, KY 40422-8728
(859) 236-8644
(859) 236-0523
Mailing address
1239 GOGGIN LN, DANVILLE, KY 40422-9366
(859) 466-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1556DT
KY
Other
Enumeration date
07/06/2006
Last updated
01/13/2015
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