Smith, Wilburn Jackson

Smith, Wilburn Jackson is an individual health care provider with primary practice located at 740 S Limestone , Lexington KY 40536-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Smith, Wilburn Jackson can be contacted via phone (859) 323-6211.

Contact Information

Primary practice address
740 S Limestone Lexington KY 40536-0001
Phone: (859) 323-6211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 30888 Kentucky

Profile Details

NPI number 1023162492
LBN Legal business name Smith, Wilburn Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 17th, 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 1023162492 NPPES
Kentucky MEDICAID 64308885

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