Individual
KYLIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5223
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051545
PA
363A00000X
Physician Assistant
OA005334
PA
Other
Enumeration date
11/12/2020
Last updated
10/20/2025
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