Individual
KYLE BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1932
(608) 263-8100
Mailing address
4120 OLD LEEDS LN, MOUNTAIN BRK, AL 35213-3228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-140013
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
140013
WI
Other
Enumeration date
01/04/2019
Last updated
04/29/2025
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