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Individual

KYLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
244954
MA
207L00000X
Anesthesiology Physician
Primary
48055
KY

Other

Enumeration date
07/22/2010
Last updated
06/09/2015
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