Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS KENNETH SMYTHE III, PH.D. IN PROGRESS
Active Sole Proprietor2472E0500X · CANNON AFB, NM
Registration Details
- NPI Number
- 1043035686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2024 (1.4221431353528 yrs)
- Last Updated
- Nov 19, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
224 W D.L. INGRAM AVENUE, BLDG. 1408CANNON AFB, NM, 88103Browse NM providers · Browse ZIP 88103
- Phone
- 3343901795
- Primary Specialty
-
2472E0500X
2472E0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.