| Lyle D Smith, MD | |
|
2020 Central Ave, Dodge City, KS 67801-1000 | |
| (620) 227-1371 | |
| (620) 227-1208 |
| Full Name | Lyle D Smith |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2020 Central Ave, Dodge City, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508847062 | NPI | - | NPPES |
| 100144060A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 04 24456 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle D Smith, MD 2020 Central Ave, Dodge City, KS 67801-1000 Ph: (620) 227-1371 | Lyle D Smith, MD 2020 Central Ave, Dodge City, KS 67801-1000 Ph: (620) 227-1371 |
Dr. Jessica Y Calvo Castanon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801 Phone: 620-227-3141 Fax: 620-227-8095 | |
Dr. Coy Randolph Matthews, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd Ste 1b, Dodge City, KS 67801 Phone: 620-371-5576 |