Individual
DR. KYLE RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101256950
VA
208000000X
Pediatrics Physician
DR.0065306
CO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
DR.0065306
CO
Other
Enumeration date
08/02/2013
Last updated
12/07/2020
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