Individual provider · Type 1 NPI

Sullivan Scott Smith, DO

General Practice Physician · Louisville, KY

NPI number 1235982455 Active

Practice location

530 S Jackson St Rm C1H17
Louisville, KY 40202-1675

Call (502) 852-5689 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XR7194 (KY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1235982455

Sullivan Scott Smith, DO's National Provider Identifier is 1235982455, issued on Apr 8, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Louisville, KY. The record was last updated on Oct 13, 2026.