Smith, Richard Dean

Smith, Richard Dean is an individual health care provider with primary practice located at 225 Medical Center Drive Suite 201, Paducah KY 42003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Richard Dean can be contacted via phone (270) 441-4200.

Contact Information

Primary practice address
225 Medical Center Drive Suite 201 Paducah KY 42003
Fax: (270) 441-4249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19479 Kentucky

Profile Details

NPI number 1710056676
LBN Legal business name Smith, Richard Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated May 5th, 2017 - about 7 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 1710056676 NPPES
Kentucky MEDICAID 64194798

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