Individual
STEVEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0474
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 783-3750
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
24251
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210000031
RAILROAD MEDICARE
KY
01
—
50005632
PASSPORT
KY
05
—
64242514
—
KY
Enumeration date
06/23/2005
Last updated
11/14/2014
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