Individual
KIMBERLY C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 KENSLEY WAY, DALLAS, GA 30157-6504
(504) 610-3354
Mailing address
2609 KENSLEY WAY, DALLAS, GA 30157-6504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919660
TX
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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