Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Daniel Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932779048

Kyle Daniel Smith is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-5018
Phone: (309) 655-7171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1932779048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

Other providers in Peoria