Individual
JAMES MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2406 WEST BROADWAY, LOUISVILLE, KY 40211
(502) 751-7301
Mailing address
1729 S 3RD ST, LOUISVILLE, KY 40208-1917
(502) 751-7301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101258652
VA
207Q00000X
Family Medicine Physician
Primary
53891
KY
Other
Enumeration date
06/09/2014
Last updated
08/12/2021
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