Individual
DR. MIKEL DWAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GILL HEART INSTITUTE 800 ROSE ST, G100, LEXINGTON, KY 40536-0093
(859) 323-0295
(859) 257-8699
Mailing address
GILL HEART INSTITUTE 900 SOUTH LIMESTONE ST, SUITE 320, LEXINGTON, KY 40536-0200
(859) 323-3976
(859) 257-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22018
KY
207RC0000X
Cardiovascular Disease Physician
Primary
22018
KY
207RG0100X
Gastroenterology Physician
22018
KY
207RI0008X
Hepatology Physician
22018
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64220189
—
KY
Enumeration date
07/28/2006
Last updated
11/19/2015
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