Individual
DR. CONNOR JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Mailing address
413 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-3800
(859) 301-3987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11023308A
IN
207Q00000X
Family Medicine Physician
57.257494
OH
207Q00000X
Family Medicine Physician
Primary
R6550
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2020
Last updated
07/22/2024
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