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Individual

KIMBERLY ROUSE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4319
(252) 948-4826
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013-01261
NC
207P00000X
Emergency Medicine Physician
45421
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225265366
NC
01
179U4
BCBSNC
NC
Enumeration date
06/16/2009
Last updated
03/06/2024
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