Individual
KIMBERLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
(208) 706-7050
(208) 706-7059
Mailing address
3525 E LOUISE DR, SUITE 500, MERIDIAN, ID 83642-6302
(208) 706-7050
(208) 706-7059
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
LRT-1350
ID
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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