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Contact Information

WILLIAM D SMITH JR, CRNA
727 HOSPITAL DR
SHELBYVILLE, KY40065-1660
 Phone: 502-647-4085
 Fax: 502-647-4098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for WILLIAM D SMITH JR · (Male)

NPI Number 1013092808
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 10/27/2006
Last updated 04/10/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3002895
  • IN Medicaid 200902460A
  • KY Medicaid 7100045920
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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