Smith, Kenneth R

Smith, Kenneth R is an individual health care provider with primary practice located at 9700 Park Plaza Ave Unit 103 , Louisville KY 40241-2286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Kenneth R can be contacted via phone (502) 429-3937.

Contact Information

Primary practice address
9700 Park Plaza Ave Unit 103 Louisville KY 40241-2286
Phone: (502) 429-3937
Fax: (502) 429-3996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34564 Kentucky

Profile Details

NPI number 1386619021
LBN Legal business name Smith, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 25th, 2008 - about 16 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 1386619021 NPPES
Kentucky MEDICAID 64435647

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