Individual
KIMBERLEY RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
747 TERRACE ST, MEADVILLE, PA 16335-1737
(814) 373-2976
(814) 333-7071
Mailing address
625 GRANDVIEW ROAD, ELWOOD CITY, PA 16117
(724) 944-0381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016149
PA
Other
Enumeration date
09/10/2015
Last updated
08/01/2017
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