Individual
MRS. KIMBERLY TAZAMEAR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
104 PARK AVE, HATTIESBURG, MS 39401-4955
(601) 699-2541
Mailing address
104 PARK AVE, HATTIESBURG, MS 39401-4955
(601) 699-2541
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
12/08/2025
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