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Individual

DR. CLAYTON MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 813-6500
(502) 589-5093
Mailing address
401 E CHESTNUT ST, STE #310, LOUISVILLE, KY 40202-5700
(502) 813-6500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45420
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000674798
ANTHEM - NICC
KY
01
136454
SIHO - NICC
KY
05
201178490
IN
05
7100140140
KY
Enumeration date
03/27/2009
Last updated
07/18/2014
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