Smith, Mikel Dwaine
Smith, Mikel Dwaine is an individual health care provider with primary practice located at Gill Heart Institute 800 Rose St G100, Lexington KY 40536-0093. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Smith, Mikel Dwaine can be contacted via phone (859) 323-0295.Contact Information
Primary practice address
Gill Heart Institute 800 Rose St G100
Lexington KY 40536-0093
Phone: (859) 323-0295
Fax: (859) 257-8699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22018 | Kentucky |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 22018 | Kentucky |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 22018 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22018 | Kentucky |
Profile Details
| NPI number | 1922012509 |
|---|---|
| LBN Legal business name | Smith, Mikel Dwaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Nov 19th, 2015 - about 9 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 | 1922012509 | NPPES |
| Kentucky | MEDICAID | 64220189 |
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