NPI 1386906360
Kyle Smith, CPED
Practice location
- Address
- 2401 Executive Plaza Rd Suite 1, Pensacola, FL 32504-8277
- Phone
- (850) 474-5003
- Fax
- (850) 686-8394
Registered specialties (2)
Pedorthist
Primary
Orthotic Fitter
Registry record
- NPI
- 1386906360
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jun 2012
- Record last updated
- 14 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.