| Dr Jerry Randolph Smith, MD | |
|
3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 | |
| (502) 774-4401 | |
| (502) 772-4783 |
| Full Name | Dr Jerry Randolph Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3015 Wilson Ave, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003989708 | NPI | - | NPPES |
| 64181092 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18109 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Randolph Smith, MD 3015 Wilson Ave, Louisville, KY 40211-1961 Ph: (502) 774-4401 | Dr Jerry Randolph Smith, MD 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Ph: (502) 774-4401 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |