Smith, Leslie Y
Smith, Leslie Y is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Leslie Y can be contacted via phone (502) 774-8631.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 776-8912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35499 | Kentucky |
Profile Details
| NPI number | 1225034051 |
|---|---|
| LBN Legal business name | Smith, Leslie Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Feb 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225034051 | NPPES |
| Kentucky | MEDICAID | 64002462 |
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