Smith, Robert Alan
Smith, Robert Alan is an individual health care provider with primary practice located at 201 S 5Th St , Bardstown KY 40004-1142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, Robert Alan can be contacted via phone (502) 348-6309.Contact Information
Primary practice address
201 S 5Th St
Bardstown KY 40004-1142
Phone: (502) 348-6309
Fax: (502) 348-2793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20837 | Kentucky |
Profile Details
| NPI number | 1063419877 |
|---|---|
| LBN Legal business name | Smith, Robert Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Feb 7th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063419877 | NPPES |
| Kentucky | MEDICAID | 64208374 |
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