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Individual

KYLIE LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
N2950 STATE RD. 67, LAKE GENEVA, WI 53147
(262) 245-0535
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(800) 637-2901
(262) 245-2248

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8974-26
WI
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
06/17/2025
Last updated
04/13/2026
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