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NPI Code Detail

MEDICARE: DR. KYLE A. SMITH M.D.

MEDICARE: DR. KYLE A. SMITH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD0080285MD

General Provider Information

NPI Number : 1205190436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE A. SMITH M.D.
Provider Business Mailing Address
First Line : 5454 WISCONSIN AVE STE 1100
Second Line : SUITE 200
City : CHEVY CHASE
State : MD
Zip : 20815-6925
Country : US
Telephone Number : 301-215-4460
Fax Number : 301-215-4499
Provider Business Practice Location Address
First Line : 5454 WISCONSIN AVE STE 1100
Second Line : SUITE 200
City : CHEVY CHASE
State : MD
Zip : 20815-6925
Country : US
Telephone Number : 301-215-4460
Fax Number : 301-215-4499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 03/17/2016

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Directions to “ DR. KYLE A. SMITH M.D.” Practice Location

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