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Individual

DR. KYLE EVERETT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP-CRNA

Contact information

Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 262-8621
Mailing address
9274 N 1400 BLVD, MOUNT CARMEL, IL 62863-4598
(812) 664-3182

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209023445
IL

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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