Individual
JORDAN KYLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6259 GALWAY DR, COLORADO SPRINGS, CO 80918-7069
(970) 573-0726
Mailing address
6259 GALWAY DR, COLORADO SPRINGS, CO 80918-7069
(970) 573-0726
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
RTL.0005794
CO
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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