Individual
KIMBERLY K. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
(317) 338-7515
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200857130
—
IN
Enumeration date
04/16/2007
Last updated
08/10/2022
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