Individual
KYLE BRYANT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
825 9TH AVE APT 2, FAIRBANKS, AK 99701-4408
(616) 881-3421
Mailing address
825 9TH AVE APT 2, FAIRBANKS, AK 99701-4408
(616) 881-3421
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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