Individual
KIMBERLY ALICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4924 CAMPBELL BLVD STE 200, BALTIMORE, MD 21236-5914
(410) 933-0000
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R175031
MD
363LF0000X
Family Nurse Practitioner
Primary
R175031
MD
Other
Enumeration date
01/24/2019
Last updated
06/29/2026
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