DR. KYLE CHARLES SMITH (NPI# 1093135741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093135741 |
| Entity Type | Individual |
| Full Name | DR. KYLE CHARLES SMITH |
| Credential | D.O. |
| Practice Address |
601 W Spruce St Ste J Missoula MT 59802 |
| Mailing Address |
601 W Spruce St Ste J Missoula MT 59802-4047 |
| Practice Telephone | 4063273350 |
| Practice Fax Number | 4063273355 |
| Mailing Telephone | 4063273350 |
| Mailing Fax Number | 4063273355 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
66644 | MT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176794 | Kyle Smith | Behavior Technician | 146 Highland Dr, Deltona, FL 32738-2262 | 2019-10-28 |
| 1346803764 | Kyle Smith | Social Worker | 71 Westcott Rd Unit B, Danielson, CT 06239-2929 | 2019-04-22 |
| 1649623968 | Kyle Bryant Smith | Specialist/Technologist, Other | 825 9th Ave Apt 2, Fairbanks, AK 99701-4408 | 2016-07-21 |
| 1093069437 | Kyle D Smith | Chiropractor | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2012-11-07 |
| 1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
| 1528330750 | Kyle Smith | Contractor | 8225 S Oglesby, Chicago, IL 60617 | 2012-02-03 |
| 1659683324 | Kyle Alan Smith | Dentist | 2941 Piedmont Road N.e. Suite E, Atlanta, GA 30305 | 2010-07-09 |
| 1144554650 | Kyle Smith | Acupuncturist | 17040 W. Greenfield Ave, Suite #6, Brookfield, WI 53005-6899 | 2009-09-30 |
| 1437198108 | Kyle A Smith | Physical Therapist | 270 Penn Way, Los Gatos, CA 95032-2618 | 2006-06-06 |
| 1184663726 | Kyle G Smith | Psychiatry & Neurology | 888 W Big Beaver Rd, 1450, Troy, MI 48084-4736 | 2006-06-06 |
| Street Address |
601 W SPRUCE ST STE J |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669728556 | Imran Khan | Psychiatry & Neurology | 601 W Spruce St Ste J, Missoula, MT 59802-4047 | 2012-07-27 |
| 1225546070 | Chelsey Miller | Nurse Practitioner | 601 W Spruce St Ste J, Missoula, MT 59802-4047 | 2018-01-15 |
| 1295183994 | Jennifer Rae Doty | Physician Assistant | 601 W Spruce St Ste J, Missoula, MT 59802-4047 | 2016-06-03 |
| 1407203680 | Mary Bruen | Physician Assistant | 601 W Spruce St Ste J, Missoula, MT 59802 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669728556 | Imran Khan | Psychiatry & Neurology | 601 W Spruce St Ste J, Missoula, MT 59802-4047 | 2012-07-27 |
| 1780810275 | Montana Neurology Pllc | Psychiatry & Neurology | 2825 Fort Missoula Rd Ste 121, Missoula, MT 59804 | 2009-06-10 |
| 1497814743 | Michael S Young | Psychiatry & Neurology | 1410 S Reserve St, Missoula, MT 59801-4758 | 2006-12-06 |
| 1548209851 | Stephen F Johnson | Psychiatry & Neurology | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-06-05 |
| 1770536872 | John D Schaeffer | Psychiatry & Neurology | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-05-18 |
| 1225023096 | Lennard Steven Wilson | Psychiatry & Neurology | 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316366495 | David Keith Lorance Jr. | Psychiatry & Neurology | 931 Highland Blvd Ste 3210, Bozeman, MT 59715-6912 | 2014-04-15 |
| 1467636746 | Wynde Kae Cheek | Psychiatry & Neurology | 5611 Rainbow Dr, Helena, MT 59602-9574 | 2007-12-22 |
| 1467635920 | Stuart N. Kieran, M.d., Pllc | Psychiatry & Neurology | 1019 W Main, Hamilton, MT 59840-4218 | 2007-12-07 |
| 1114114220 | Mary Carol Sims | Psychiatry & Neurology | 140 Weasel Creek Rd, Box 470126, Winston, MT 59647-0126 | 2007-10-02 |
| 1457486276 | Intermountain Neurology PC | Psychiatry & Neurology | 650 Ferguson Ave, Suite 1, Bozeman, MT 59718-6518 | 2007-02-22 |
| 1811062870 | Advanced Neurology Specialists Pllc | Psychiatry & Neurology | 400 15th Ave S Ste 206, Great Falls, MT 59405-4375 | 2006-11-22 |
| 1629150123 | Stuart Neil Kieran | Psychiatry & Neurology | 1019 W Main St, Hamilton, MT 59840-2333 | 2006-10-20 |
| 1750325692 | Roger S. Williams | Psychiatry & Neurology | 120 Poly Dr, Suite 201, Billings, MT 59101-0136 | 2006-06-14 |
| 1518913250 | Bret D Lindsay | Psychiatry & Neurology | 200 Commons Way Ste C, Kalispell, MT 59901-1915 | 2006-05-25 |
| 1093774887 | Joshua Aaron Knappenberger | Psychiatry & Neurology | 931 Highland Blvd Ste 3260, Bozeman, MT 59715-6907 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.