Individual
KIMBERLEY JOAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1703 INNOVATION DR STE 3136, YORK, PA 17408-8815
(171) 741-3449
(717) 741-5496
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP020861
NP LICENSE
PA
Enumeration date
05/08/2020
Last updated
12/12/2020
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