Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E OLENTANGY ST, POWELL, OH 43065-9069
(614) 898-1211
(614) 961-1096
Mailing address
120 E OLENTANGY ST, POWELL, OH 43065-9069
(614) 898-1211
(614) 961-1096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/21/2015
Last updated
04/22/2024
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