Individual
KIMBERLY LEAHY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
122 RHAPSODY CT, LAKE PLACID, FL 33852-9205
(812) 718-9090
(812) 718-9090
Mailing address
122 RHAPSODY CT, LAKE PLACID, FL 33852-9205
(866) 416-3398
(856) 556-3773
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
CAN398323
FL
2279H0200X
Home Health Registered Respiratory Therapist
CAN398323
FL
374U00000X
Home Health Aide
Primary
CAN398323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA398323
CNA LICENSE
FL
Enumeration date
08/31/2020
Last updated
11/04/2020
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