Individual
STEVE WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 STONECREST ROAD, SUITE 101, SHELBYVILLE, KY 40065
(502) 633-5565
(502) 633-5154
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64291024
—
KY
Enumeration date
08/09/2006
Last updated
12/02/2020
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