Individual
WESLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-4554
(859) 257-8978
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
05209
KY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
05209
KY
Other
Enumeration date
04/13/2016
Last updated
06/08/2022
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