Individual
MR. HENRY KYLE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10413 S YALE AVE, TULSA, OK 74137-6065
(717) 561-4940
(717) 561-4999
Mailing address
945 E PARK DR, STE 102, HARRISBURG, PA 17111-2804
(717) 561-4940
(717) 561-4999
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05002617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628327
—
PA
Enumeration date
02/10/2006
Last updated
12/09/2020
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