Individual
DR. KIMBERLY S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 749-5025
(405) 749-3585
Mailing address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 749-5025
(405) 749-3585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259110C
—
OK
01
—
P00060689
MEDICARE RR
OK
Enumeration date
08/29/2006
Last updated
06/14/2022
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