Individual
JAMES KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1724 NW 4TH ST, OKLAHOMA CITY, OK 73106-2609
(405) 415-8410
Mailing address
816 LAKEVIEW DR, MOORE, OK 73160-2627
(405) 618-8311
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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