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Individual

ROBERT MARTY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2353 ALEXANDRIA DR, SUITE 350, LEXINGTON, KY 40504-3264
(859) 224-2655
(859) 223-7147
Mailing address
2353 ALEXANDRIA DR, SUITE 350, LEXINGTON, KY 40504-3264
(859) 224-2655
(859) 223-7147

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1326DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77013266
KY
Enumeration date
07/19/2006
Last updated
06/28/2012
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