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Individual

DR. CHRISTOPHER J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 NORTH GRAND AVENUE, FT. THOMAS, KY 41075-1793
(859) 912-7211
(859) 655-6674
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-0288
(859) 341-7482

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
41585
KY
207R00000X
Internal Medicine Physician
Primary
41585
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000008876
ANTHEM
OH
01
000000560926
ANTHEM
01
0420604
UNITED HEALTH CARE
OH
05
0829072
OH
01
634925
AETNA
OH
05
7100044490
KY
01
P00922874
RAIL ROAD MEDICARE
KY
Enumeration date
08/02/2005
Last updated
06/18/2024
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