Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(301) 902-1073
Mailing address
10980 GRANTCHESTER WAY, COLUMBIA, MD 21044-6097
(301) 902-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101263270
VA
2085R0202X
Diagnostic Radiology Physician
D0084060
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD045575
DC
Other
Enumeration date
06/09/2009
Last updated
04/07/2023
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