KYLE GLENN SMITH

IDAHO FALLS, ID
NPI1710720552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-06-18
Last Update Date2026-08-10
Business Address
KYLE GLENN SMITH PA
4161 HILLBILLY WAY
IDAHO FALLS, ID 83401-6920
Phone number: 208-559-0883
Mailing Address
KYLE GLENN SMITH PA
4161 HILLBILLY WAY
IDAHO FALLS, ID 83401-6920
Phone number: 208-559-0883