Smith, Clifton

Smith, Clifton is an sole proprietor health care provider with primary practice located at 177 Burt Rd , Lexington KY 40503-2410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Smith, Clifton can be contacted via phone (859) 276-1511.

Contact Information

Primary practice address
177 Burt Rd Lexington KY 40503-2410
Phone: (859) 276-1511
Fax: (859) 276-3373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 16726 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16726 Kentucky

Profile Details

NPI number 1114991296
LBN Legal business name Smith, Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Jan 6th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114991296 NPPES
Kentucky MEDICAID 64167265

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