Individual
KIM ANNETTE AVERY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
(479) 986-5191
Mailing address
PO BOX 130, ROGERS, AR 72757-0130
(479) 986-5150
(479) 986-5191
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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