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

Mr. Nicholas Kenneth Smythe III, PHDINPROGRESS

Individual provider EEG Technician · NPI 1043035686

Mr. Nicholas Kenneth Smythe III, PHDINPROGRESS is an EEG Technician in Cannon AFB, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

224 W D.l Ingram Ave Bldg 1408
Cannon AFB, NM 88103
Phone: (334) 390-1795
Show map & directions

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

Specialties & licences

EEG Technician (primary) Taxonomy 2472E0500X

Record details

NPI number1043035686
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDINPROGRESS
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 17, 2024