Individual
KYLE ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
26793
MS
207T00000X
Neurological Surgery Physician
Primary
59561
TN
207T00000X
Neurological Surgery Physician
E-12906
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006587018
—
MS
05
—
Q051622
—
TN
Enumeration date
04/03/2012
Last updated
04/30/2024
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