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KIMBERLY SUZANNE SMITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 S 333RD ST, STE 150, FEDERAL WAY, WA 98003-7391
(253) 275-6030
(253) 946-0428
Mailing address
200 S 333RD ST, STE 150, FEDERAL WAY, WA 98003-7391
(253) 275-6030
(253) 946-0428

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00167980
WA
363L00000X
Nurse Practitioner
Primary
AP60039600
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0242140
STATE L&I
WA
01
8949812
STATE CRIME VICTIM
WA
05
9659087
WA
Enumeration date
10/21/2008
Last updated
11/15/2010
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