Organization
ACCREDITED ASTHMA & ALLERGY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STEVEN SMITH M.D. (PARTNER)
(502) 895-3330
Entity
Organization
Contact information
Practice address
1009B DUPONT SQ N, LOUISVILLE, KY 40207-4612
(502) 895-3330
(502) 895-3356
Mailing address
1009B DUPONT SQ N, LOUISVILLE, KY 40207-4612
(502) 895-3330
(502) 895-3356
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030004050
RAILROAD MEDICARE
KY
05
—
64129356
—
KY
Enumeration date
07/28/2006
Last updated
06/23/2014
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