Smith, William

Smith, William is an individual health care provider with primary practice located at 125 Kingswood Dr , Campbellsville KY 42718-9634. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Smith, William can be contacted via phone (270) 789-6175.

Contact Information

Primary practice address
125 Kingswood Dr Campbellsville KY 42718-9634
Phone: (270) 789-6175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30805 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30805 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30805 Kentucky

Profile Details

NPI number 1134131907
LBN Legal business name Smith, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2015 - about 10 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 1134131907 NPPES
Kentucky MEDICAID 64308059

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