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1902059157
KYLE MICHAEL SMITH
SALT LAKE CITY, UT
NPI
1902059157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: UT 7154798-1205)
Enumeration Date
2008-11-01
Last Update Date
2013-12-20
Business Address
Dr. KYLE MICHAEL SMITH MD
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-5592
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Mailing Address
Dr. KYLE MICHAEL SMITH MD
PO BOX 413021
SALT LAKE CITY, UT 84141-3021
Phone number: 801-213-3900
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