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Individual

BENJAMIN EDWARD SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3135 ZION RD, SUITE B, HENDERSON, KY 42420-9204
(270) 826-9444
(270) 826-9002
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
03631
KY
208VP0000X
Pain Medicine Physician
Primary
03631
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03631
LICENSE
KY
05
300001647
IN
05
7100249310
KY
Enumeration date
05/11/2009
Last updated
05/28/2024
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