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Individual

CHARLES D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
740 S LIMESTONE, J 401, LEXINGTON, KY 40536-0284
(859) 323-5661
Mailing address
740 S LIMESTONE, J 401, LEXINGTON, KY 40536-0284
(859) 323-5661

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25444
KY
2085N0700X
Neuroradiology Physician
25444
KY
2085R0202X
Diagnostic Radiology Physician
25444
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64254444
KY
Enumeration date
06/02/2006
Last updated
02/14/2017
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