Individual
ETHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 N RACE ST, GLASGOW, KY 42141-3427
(270) 651-4865
Mailing address
1325 N RACE ST, GLASGOW, KY 42141-3427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6551
KY
Other
Enumeration date
04/07/2023
Last updated
10/17/2025
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