Individual
KIM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MEDICAL CENTER LN STE A, GUNTERSVILLE, AL 35976-7390
(256) 571-8717
Mailing address
29 MEDICAL CENTER LN STE A, GUNTERSVILLE, AL 35976-7390
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1-180295
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-180295
AL
Other
Enumeration date
03/21/2022
Last updated
11/30/2023
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