Individual
DR. GERDIE JEAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50683
KY
207Q00000X
Family Medicine Physician
R3520
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
50683
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME136348
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME136348
FL
208M00000X
Hospitalist Physician
ME136348
FL
390200000X
Student in an Organized Health Care Education/Training Program
50683
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100362060
—
KY
01
—
K161440
MEDICARE
KY
Enumeration date
04/10/2014
Last updated
08/25/2025
Update your record
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