| Doctor Name: | DR. JOHN M SMITH |
| NPI Number: | 1306860424 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD. |
| License Number: | 35092296 |
| Business Practice Address: | 78 Sunnymede Dr Fort Mitchell, KY - 410172842 |
| Business Phone Number: | 8593316104 |
| Business Fax Number: | |
| Mailing Address: | 78 Sunnymede Dr, FORT MITCHELL |
| State: | KY |
| Postal Code: | 410172842 |
| Phone Number: | 8593316104 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35092296 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |