| Kevin Charles Smith, DO | |
|
289 Ireland Ave, Fort Knox, KY 40121-5111 | |
| (502) 624-9795 | |
| Not Available |
| Full Name | Kevin Charles Smith |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 289 Ireland Ave, Fort Knox, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972592038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03401 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 03401 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The James B. Haggin Memorial Hospital | Harrodsburg, KY | Hospital |
| Bluegrass Community Hospital | Versailles, KY | Hospital |
| Carroll County Memorial Hospital | Carrollton, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Company Of Tennessee Pllc | 0345588109 | 40 |
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Empact Midwest Llc | 9436577517 | 21 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Entity Name | Empact Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841801784 PECOS PAC ID: 9436577517 Enrollment ID: O20200922002897 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Charles Smith, DO 2250 Leestown Rd, Room 217, Lexington, KY 40511 Ph: (859) 233-4511 | Kevin Charles Smith, DO 289 Ireland Ave, Fort Knox, KY 40121-5111 Ph: (502) 624-9795 |
Andres Perez, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121 Phone: 313-550-2056 | |
Dr. Ann Judith Burgardt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-9658 |