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Contact Information

MICHAEL SMITH, RN
20 MEDICAL VILLAGE DR
SUITE 258
EDGEWOOD, KY41017
 Phone: 859-301-2211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MICHAEL SMITH · (Male)

NPI # 1487630091
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 12/16/2005
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 037860
  • KY License # 1054975
  • KY Medicaid 74097817
  • OH Medicaid 2166454
  • Other 000000389807 ANTHEM
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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