Provider Demographics
NPI:1194462119
Name:SMITH, KIRKLIN RABB (MD)
Entity Type:Individual
Prefix:
First Name:KIRKLIN
Middle Name:RABB
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PSYCHIATRY RESIDENCY PROGRAM, SHOAL CREEK HOSPITAL
Mailing Address - Street 2:3501 MILLS AVE., 6TH FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSYCHIATRY RESIDENCY PROGRAM, SHOAL CREEK HOSPITAL
Practice Address - Street 2:3501 MILLS AVE., 6TH FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-495-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100790472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry