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Individual

CHARLES STEVEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1009B DUPONT SQUARE NORTH, LOUISVILLE, KY 40207-4612
(502) 895-3330
(502) 898-3356
Mailing address
1009B DUPONT SQUARE NORTH, LOUISVILLE, KY 40207-4612
(502) 895-3330
(502) 898-3356

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17390
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030004050
RAILROAD MEDICARE
KY
Enumeration date
07/28/2006
Last updated
05/29/2014
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