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Dr. Kyle Clark Smith, MD
Family Medicine Physician in Roseville, California
NPI 1407376106

Kyle Clark Smith is a Family Medicine Physician based in Sacramento, CA. Kyle Clark Smith practices in Roseville, CA and has the professional credentials of MD. The NPI Number for Kyle Clark Smith is 1407376106 and holds a License No. (California).

The current practice location address for Kyle Clark Smith is 568 N Sunrise Ave Ste 250, Roseville, CA and can be reached out via phone at 916-865-1140.

Location: 568 N Sunrise Ave Ste 250, Roseville, CA, 95865-5228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407376106
Provider Name
Kyle Clark Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
568 N Sunrise Ave Ste 250, Roseville, CA, 95865-5228
Phone Number
916-865-1140
Fax Number
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
568 N Sunrise Ave Ste 250
City
Roseville
State
California
Zip
95661-3097
Phone Number
916-865-1140
Fax Number
person
Provider Business Mailing Address Details
Address
568 N Sunrise Ave Ste 250
City
Roseville
State
California
Zip
95661-3097
Phone Number
916-865-1140
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A157640 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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