Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
2451 W GRAPEVINE MILLS CIR # 532, GRAPEVINE, TX 76051-2096
(972) 993-7498
Mailing address
PO BOX 1200, COLLEYVILLE, TX 76034-1200
(972) 993-7498
(972) 993-7479
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
AP132983
TX
363LF0000X
Family Nurse Practitioner
AP132983
TX
Other
Enumeration date
01/19/2017
Last updated
03/17/2026
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