DR. Jerry Randolph Smith, MD

NPI #1003989708 in Louisville, Kentucky

Provider Information

NPI Number: 1003989708
Entity Type: Individual
Name: DR. Jerry Randolph Smith, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 17, 2006
Last Updated: Dec 28, 2025

Practice Location

Address: 3015 WILSON AVE
Address 2: PARK DUVALLE CNC
City: Louisville
State: Kentucky
ZIP Code: 40211
Phone: (502) 774-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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