Individual
KIMBERLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 LAKEBRIAR ST, SAN ANTONIO, TX 78222
(210) 708-2167
Mailing address
2607 LAKEBRIAR ST, SAN ANTONIO, TX 78222-1613
(210) 708-2167
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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