Individual
KYLE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6397 EMERALD PKWY, DUBLIN, OH 43016-2200
(614) 383-6450
(614) 383-6455
Mailing address
PO BOX 734439, CHICAGO, IL 60673-4439
(614) 383-6450
(614) 383-6455
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
APRN.CNP.0027506
OH
363L00000X
Nurse Practitioner
APRN.CNP.0027506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418787
—
OH
Enumeration date
09/23/2020
Last updated
11/24/2025
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