Individual
KIMBERLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 COUNTRY CLUB DR, ASHLAND, KY 41101-2136
(606) 371-0224
Mailing address
106 COUNTRY CLUB DR, ASHLAND, KY 41101-2136
(606) 371-0224
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200122906
KY
103TS0200X
School Psychologist
OH3021991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20640377
—
OH
Enumeration date
03/03/2015
Last updated
11/17/2020
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