Individual
DR. CLAYTON MICHAEL SMITH
Active
Individual
DR. CLAYTON MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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