Individual
JOSEPH W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 252-3073
Mailing address
2550 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 783-8026
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
52074
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TP631
KY
208VP0000X
Pain Medicine Physician
TP631
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
10/01/2008
Last updated
08/13/2015
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