Kyle Bryant Smith, B.S

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

825 9TH Ave Apt 2
Fairbanks, AK 99701-4408

Phone

(616) 881-3421

NPI assigned

Jul 21, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1649623968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 9TH AVE APT 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014408",
            "telephone_number": "616-881-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 9TH AVE APT 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014408",
            "telephone_number": "616-881-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "BRYANT",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocylynn Leigh Smith
• Jonathan Luke Smith
• Joshua E Smith
• Julianne Smith
• Keri Smith
• Leeverne Trimel Smith
• Monique Dase Smith, M.D.
• Nicole Smith
• Pauline Elizabeth Smith
• Shane Richard Smith, CRNA

• Electroneurodiagnostic Specialist/Technologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Electroneurodiagnostic Specialist/Technologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.