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Individual

MR. ALLEN KYLE SMITHSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RD, CSSD, LDN

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-4277
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86032809
TN
133V00000X
Registered Dietitian
TN

Other

Enumeration date
04/08/2019
Last updated
06/10/2021
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