Smith, Jesse Kyle
Smith, Jesse Kyle is an sole proprietor health care provider with primary practice located at 920 Stanton L Young Blvd G. Rainey Williams Pavillion 3Rd Floor, Oklahoma City OK 73104-5036. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Smith, Jesse Kyle can be contacted via phone (405) 271-4468.Contact Information
Primary practice address
920 Stanton L Young Blvd G. Rainey Williams Pavillion 3Rd Floor
Oklahoma City OK 73104-5036
Phone: (405) 271-4468
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 33042 | Oklahoma |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Texas | |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 33042 | Oklahoma |
Profile Details
| NPI number | 1508391236 |
|---|---|
| LBN Legal business name | Smith, Jesse Kyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2017 |
| Last updated | Oct 14th, 2020 - about 6 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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