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Individual

WILLIAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-6175
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 465-3561

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30805
KY
207R00000X
Internal Medicine Physician
30805
KY
2084N0400X
Neurology Physician
Primary
30805
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64308059
KY
Enumeration date
08/12/2006
Last updated
07/08/2015
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