Individual
DR. KIRK RANDALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHSC, ARNP
Contact information
Practice address
1475 AIRPORT ROAD, LAKELAND, FL 33811
(863) 499-6018
(863) 686-8868
Mailing address
1475 AIRPORT ROAD, LAKELAND, FL 33811
(863) 499-6018
(863) 686-8868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2460782
FL
363L00000X
Nurse Practitioner
Primary
ARNP2640782
FL
Other
Enumeration date
01/18/2007
Last updated
03/25/2016
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