Individual
KEVIN CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9795
Mailing address
2250 LEESTOWN RD, ROOM 217, LEXINGTON, KY 40511
(859) 233-4511
(859) 281-3928
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03401
KY
207Q00000X
Family Medicine Physician
03401
KY
Other
Enumeration date
10/20/2005
Last updated
10/20/2023
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