Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE J. SMISEK, PA
ActiveKYLE J. SMISEK, PA is a Surgical Physician Assistant healthcare provider located in FARIBAULT, Minnesota. NPI 1336653864 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FARIBAULT, MN
Registration Details
- NPI Number
- 1336653864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2017 (8.7749845300561 yrs)
- Last Updated
- Nov 20, 2017
- License
-
12563 (MN)
Practice Information
- Address
-
1645 LYNDALE AVE N STE 103FARIBAULT, MN, 550212935Browse MN providers · Browse ZIP 55021
- Phone
- 5073341601
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.