Smart, Kyle N

Smart, Kyle N is an individual health care provider with primary practice located at 16465 Sierra Lakes Pkwy Suite 300, Fontana CA 92336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smart, Kyle N can be contacted via phone (909) 429-2864.

Contact Information

Primary practice address
16465 Sierra Lakes Pkwy Suite 300 Fontana CA 92336
Phone: (909) 429-2864
Fax: (909) 429-2868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A8257 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8257 California

Profile Details

NPI number 1821030057
LBN Legal business name Smart, Kyle N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821030057 NPPES
California MEDICAID 00AX82570

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