Individual
LESLIE FEGENBUSH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6218
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03141
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200919590
—
IN
05
—
710066040
—
KY
Enumeration date
06/05/2007
Last updated
09/06/2023
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