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NPI Code Detail

MEDICARE: KIRK SMITH, DO PC

MEDICARE: KIRK SMITH, DO PC
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
1207L00000XAnesthesiology Physician1385NV

General Provider Information

NPI Number : 1285901074
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIRK SMITH, DO PC
Provider Business Mailing Address
First Line : 3153 E WARM SPRINGS RD
Second Line : STE 300
City : LAS VEGAS
State : NV
Zip : 89120-3141
Country : US
Telephone Number : 702-487-6510
Fax Number : 702-405-7960
Provider Business Practice Location Address
First Line : 3153 E WARM SPRINGS RD
Second Line : STE 300
City : LAS VEGAS
State : NV
Zip : 89120-3141
Country : US
Telephone Number : 702-487-6510
Fax Number : 702-405-7960
Authorized Official
Title or Position : CEO
Name : KIRK SMITH
Credential : DO
Telephone Number : 702-487-6510
Provider Enumeration Date : 11/21/2011
Last Update Date : 11/21/2011

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Directions to “KIRK SMITH, DO PC ” Practice Location

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