JERRY RANDOLPH SMITH

LOUISVILLE, KY
NPI1003989708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  18109)
Enumeration Date2006-11-17
Last Update Date2012-07-25
Business Address
Dr. JERRY RANDOLPH SMITH MD
3015 WILSON AVE PARK DUVALLE CNC
LOUISVILLE, KY 40211
Phone number: 502-774-4401
Mailing Address
Dr. JERRY RANDOLPH SMITH MD
3015 WILSON AVE
LOUISVILLE, KY 40211-1961
Phone number: 502-774-4401
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