Individual
KEVIN S SMITH
Active
Individual
KEVIN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01051932A
IN
207R00000X
Internal Medicine Physician
036-082153
IL
207R00000X
Internal Medicine Physician
Primary
39134
KY
208M00000X
Hospitalist Physician
39134
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382064
ANTHEM
—
01
—
049238
SIHO
—
05
—
200156690
—
IN
01
—
214881
MEDICARE GROUP PTAN
IL
05
—
64094048
—
KY
01
—
P00267326
RAILROAD MEDICARE - NICC
KY
01
—
P00272398
RAILROAD MEDICARE - NICC
KY
01
—
P00838098
RAILROAD MEDICARE - NICC
IN
Enumeration date
04/19/2006
Last updated
08/15/2024
Update your record
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