Organization
SCHEEN & SMITH, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN Z SMITH M.D. (PRESIDENT)
(502) 896-8803
Entity
Organization
Contact information
Practice address
3950 KRESGE WAY, SUITE 305, LOUISVILLE, KY 40207-4637
(502) 896-8803
(502) 896-8863
Mailing address
3950 KRESGE WAY, SUITE 305, LOUISVILLE, KY 40207-4637
(502) 896-8803
(502) 896-8863
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17338
KY
207ND0900X
Dermatopathology Physician
17338
KY
207NS0135X
Procedural Dermatology Physician
17338
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046994
BCBS
KY
01
—
1066659
PASSPORT
KY
01
—
2434641000
PASSPORT ADVANTAGE
KY
05
—
64173388
—
KY
01
—
CB7118
RAILROAD MEDICARE
KY
Enumeration date
09/13/2006
Last updated
02/12/2009
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