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1104404912
KANE SMITH
LOUISVILLE, KY
NPI
1104404912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
KANE SMITH DO
530 S JACKSON ST RM C2A03
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1732
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Mailing Address
KANE SMITH DO
530 S JACKSON ST RM C2A03
LOUISVILLE, KY 40202-1675
Phone number: 502-852-1732
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