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Individual

KIMBERLY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN621136
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
8157
NC
367500000X
Certified Registered Nurse Anesthetist
RN621136
PA

Other

Enumeration date
08/18/2017
Last updated
04/08/2026
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