Individual
DR. ELLIOTT SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-3840
(502) 562-0312
Mailing address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-3840
(502) 562-0312
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
FT579
KY
390200000X
Student in an Organized Health Care Education/Training Program
FT579
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT579
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
07/10/2018
Last updated
07/10/2018
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