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Individual

DR. KENNETH R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9700 PARK PLAZA AVE UNIT 103, LOUISVILLE, KY 40241-2286
(502) 429-3937
(502) 429-3996
Mailing address
9700 PARK PLAZA AVE UNIT 103, LOUISVILLE, KY 40241-2286
(502) 429-3937
(502) 429-3996

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34564
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64435647
KY
Enumeration date
02/17/2006
Last updated
09/25/2008
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