Individual
MS. KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1109 S LINCOLN AVE, URBANA, IL 61801-4703
(217) 333-2715
Mailing address
1638 FRONTIER DR, NORMAL, IL 61761-5625
(309) 862-0585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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