Wilburn Jackson Smith III MD

NPI 1023162492 - Pediatrics - 2080P0205X

NPI Details
NPI 1023162492
Gender Male
Enumeration Date 01/23/2007
Last Updated 04/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
740 S LIMESTONE
LEXINGTON KY, 40536-0001, US
Phone (859) 323-6211
Fax
Business Location
2333 ALUMNI PARK PLZ
SUITE 200
LEXINGTON KY, 40517-4012, US
Phone (859) 257-7910
Fax
Toxanomy
Taxonomy Code 2080P0205X
License State Kentucky
License Number 30888
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According to our database, Wilburn Jackson Smith III MD NPI is 1023162492, taxonomy code is 2080P0205X and license number is 30888, license state is located at Kentucky. Wilburn Jackson Smith III MD physically located at 740 S Limestone, Lexington KY, 40536-0001. NPI Number Wilburn Jackson Smith III MD has the Individual type.

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1023162492 NPI number is provided on an as is basis without warranty of any kind. 1023162492 is maintained by the National Plan & Provider Enumeration System. The contents of Wilburn Jackson Smith III MD are for informational purposes only.