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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE GLENN SMITH PA
NPI 1710720552
Physician Assistant in Idaho Falls, ID

Active since June 18, 2024
4161 HILLBILLY WAY, IDAHO FALLS, ID 83401(208) 559-0883 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Jun 18, 2024 (2 updates tracked since 2024).

About Kyle Glenn Smith Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE GLENN SMITH PA (NPI 1710720552) is an individual physician assistant in Idaho Falls, Idaho and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1710720552
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE GLENN SMITHCredential: PA
Location Address4161 HILLBILLY WAYIdaho Falls, ID 83401-6920
Mailing Address4161 Hillbilly WayIdaho Falls, ID 83401-6920 · (208) 559-0883
Phone(208) 559-0883
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1710720552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4161 HILLBILLY WAY, Idaho Falls, ID 83401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Smith's NPI number?

The NPI number for Kyle Smith is 1710720552. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Kyle Smith located?

Kyle Smith practices at 4161 Hillbilly Way, Idaho Falls, ID 83401. The listed phone number is (208) 559-0883.

What is Kyle Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kyle Smith was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.