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Individual

DR. ELVIS SMITH DONALDSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1780 NICHOLASVILLE RD, STE 101, LEXINGTON, KY 40503
(859) 278-5671
(859) 278-5978
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
16232
KY
207VX0201X
Gynecologic Oncology Physician
Primary
16232
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64162324
KY
Enumeration date
04/27/2006
Last updated
05/29/2013
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