| John M Smith,m.d. P.s.c. | |
|
110 River Drive Beattyville KY 41311-0170 | |
| (606) 464-2946 | |
| (606) 464-3502 |
| Full Name | John M Smith,m.d. P.s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 110 River Drive, Beattyville, Kentucky |
| Authorized Official Name and Position | John M Smith (OWNER) |
| Authorized Official Contact | 6064642946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Smith,m.d. P.s.c. Po Box 170 Beattyville KY 41311-0170 Ph: (606) 464-2946 | John M Smith,m.d. P.s.c. 110 River Drive Beattyville KY 41311-0170 Ph: (606) 464-2946 |
| NPI Number | 1528297132 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528297132 | NPI | - | NPPES |
| 64107287 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10728 (Kentucky) | Primary |
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