Whalio Doctors

NPI 1386906360

Kyle Smith, CPED

Practitioner Pedorthist Pensacola, FL

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence PED207 (FL)
Orthotic Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence C.F.O.00226 (FL)

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.