| Organization Name: | CARL E. SMITH, M.D., F.A.A.P., PLLC |
| NPI Number: | 1053427286 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL E. SMITH (OWNER) |
| Mailing Address: | 120 Professional Ln Suite 201 Harlan |
| State: | KY US |
| Postal Code: | 408312600 |
| Phone Number: | 6065731004 |
| Fax Number: | 6065730059 |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 24028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |