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Individual
KYLE SMITH
Active
Individual
KYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
244954
MA
207L00000X
Anesthesiology Physician
Primary
48055
KY
Other
Enumeration date
07/22/2010
Last updated
06/09/2015
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