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Individual

DR. DAVID M SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 E CHESTNUT ST, KOSAIR CHILDRENS HOSPITAL, LOUISVILLE, KY 40202-1821
(502) 451-9949
(502) 451-4553
Mailing address
DEPT 5090 PO BOX 740041, LOUISVILLE, KY 40201-7441
(502) 451-9949
(502) 451-4553

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34621
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64012784
KY
Enumeration date
08/30/2006
Last updated
07/09/2007
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