Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE STE C, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 471-2488
Mailing address
4510 PENNSYLVANIA AVE STE C, CHARLESTON, WV 25302-4835
(606) 548-9427
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
03/04/2026
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