| Doctor Name: | KYRA DIANE SMITH |
| NPI Number: | 1043598535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 700750 |
| Business Practice Address: | 605 E San Antonio St Suite 508e Victoria, TX - 779016050 |
| Business Phone Number: | 3615758585 |
| Business Fax Number: | |
| Mailing Address: | 605 E San Antonio St, Suite 508e VICTORIA |
| State: | TX |
| Postal Code: | 779016050 |
| Phone Number: | 3614858585 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2011 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 700750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |