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General NPI Number Information
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NPI Number | 1619932993
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Entity Type | Individual
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Provider Name | KEVIN S SMITH MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 1930 BISHOP LN STE 1017
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City | LOUISVILLE
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State | KY
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Zip | 40218-1921
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Country | US
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Telephone | 502-272-5064
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Fax | 502-272-5339
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-082153
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 39134
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 39134
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01051932A
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License Number State | IN
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