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Kylie Smith is one of 111 physician assistants practicing in Waco, Texas .
Kylie Smith practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1013710532
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
300 Richland West Cir Ste 2C Waco, TX 76712-7935 (254) 340-6000
Enumerated
Mar 31, 2025
Record last updated
Aug 5, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
300 Richland W Cir 2C U.S. Dermatology Partners
Waco , TX 76712
(254) 340-6000
1367 Dominion Plz
Tyler , TX 75703
(903) 534-6200
More physician assistants in Waco
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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