Individual
DR. MICHAEL JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, STE 802, LOUISVILLE, KY 40202-3904
(502) 588-2348
(502) 588-2334
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-2348
(502) 588-2334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41086
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
41086
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200890490
—
IN
05
—
7100021340
—
KY
Enumeration date
05/29/2007
Last updated
09/04/2014
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