Individual
JAMES R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 HOSPITAL DR, STE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-8075
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 633-3525
(502) 633-8075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048270
ANTHEM
KY
01
—
0100488
UHC
—
05
—
64208259
—
KY
Enumeration date
09/01/2005
Last updated
07/21/2022
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