Individual
LYLE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CENTRAL AVE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Mailing address
2020 CENTRAL AVE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04 24456
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100144060A
—
KS
Enumeration date
11/10/2005
Last updated
01/28/2013
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