Individual ProviderKyle SmithNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705(512) 454-2554(254) 724-2111PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134572027Provider TypeIndividualFull NameSmith, KyleCredentialCRNAGenderMaleSole ProprietorNoEnumeration Date7/15/2016Last Updated9/11/2023Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705Phone(512) 454-2554FaxUnlisted FaxMailing LocationMailing AddressPO Box 844658, Dallas, TX 75284-4658Phone(254) 724-2111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP131134Texas