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Dr. Kirby L Smith

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kirby L Smith
Gender: M
Provider License Number If Given: MD5187

NPI Information:

NPI: 1144223298
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/4/2020

Provider Business Mailing Address:

Address: 965 RIDGE LAKE BLVD STE 103
Memphis, TN 38120
Phone Number:
Fax Number: 9012278591

Provider Business Practice Location Address:

Address: 80 HUMPHREYS CENTER DR STE 330
Memphis, TN 38120
Phone Number: 9017526131
Fax Number: 9017516170

Provider Taxonomy:

Primary: 207RH0003X
Secondary (if any): 207RH0003X
State: TN

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