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Individual

DONALD ANTHONY SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1109 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6066
(270) 737-2354
Mailing address
1109 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6066
(270) 737-2354

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26481
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64264815
KY
Enumeration date
08/03/2005
Last updated
12/10/2009
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