Individual
MRS. KIMBERLY JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 KETTLE CREEK RD, TOMPKINSVILLE, KY 42167-8620
(270) 487-6371
Mailing address
2053 KETTLE CREEK RD, TOMPKINSVILLE, KY 42167-8620
(270) 487-6371
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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