Individual
KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM
Contact information
Practice address
17040 W. GREENFIELD AVE, SUITE #6, BROOKFIELD, WI 53005-6899
(262) 439-8055
(262) 289-9776
Mailing address
17040 W. GREENFIELD AVE, SUITE #6, BROOKFIELD, WI 53005-6899
(262) 439-8055
(262) 289-9776
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
585-055
WI
Other
Enumeration date
09/30/2009
Last updated
11/14/2018
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