Individual
DR. BRIAN DOUGLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 BEVINS LN, STE C, GEORGETOWN, KY 40324-6120
(502) 868-0622
(502) 868-9097
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31662
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64045315
—
KY
Enumeration date
06/30/2005
Last updated
12/02/2020
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