Individual
KIMBERLY DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20 HAZELWOOD DR, PELL CITY, AL 35125-3382
(205) 338-8008
(205) 338-8009
Mailing address
20 HAZELWOOD DR, PELL CITY, AL 35125-3382
(205) 338-8008
(205) 338-8009
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9414889
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9414889
FL LICENSE
FL
Enumeration date
08/19/2015
Last updated
09/24/2024
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