Doctor Name: | DR. KIRK M. SMITH |
NPI Number: | 1023008653 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23307 |
Business Practice Address: | 4909 Se Mills Ave Lawton, OK - 735018705 |
Business Phone Number: | 5808900545 |
Business Fax Number: | |
Mailing Address: | 4909 Se Mills Ave, LAWTON |
State: | OK |
Postal Code: | 735018705 |
Phone Number: | 5808900545 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2005 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 23307 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |