Individual
DR. BLAKE ALLEN SMITH
Active
Individual
DR. BLAKE ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01073180A
IN
2084N0400X
Neurology Physician
Primary
35121619
OH
2084N0400X
Neurology Physician
46546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104892
—
OH
05
—
7100305370
—
KY
01
—
P01347060
RR MEDICARE
—
Enumeration date
05/19/2009
Last updated
08/06/2026
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