Individual
DR. ANDREW ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8281
Mailing address
702 EXECUTIVE PARK, LOUISVILLE, KY 40207-4207
(502) 895-5405
(502) 894-9544
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46315
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100241130
—
KY
Enumeration date
06/28/2007
Last updated
07/13/2021
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