Individual
MICHAEL KEVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 HARDING PIKE STE 104, NASHVILLE, TN 37205-4900
(615) 383-4748
Mailing address
PO BOX 50976, NASHVILLE, TN 37205-0976
(615) 612-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110215825
RAILROAD MCARE
TN
01
—
3158590
BCBS
TN
01
—
4160071
BLUE CROSS BLUE SHIELD
TN
01
—
5416194
AETNA
TN
01
—
P00466145
RAILROAD MEDICARE
TN
Enumeration date
07/23/2007
Last updated
12/05/2022
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