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Individual

RYAN WILLIAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4123 DUTCHMANS LN, SUITE 301, LOUISVILLE, KY 40207-4707
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45990
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
45990
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2010
Last updated
10/05/2016
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