Individual
KIMBERLY ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028-6061
(602) 494-5050
Mailing address
2424 N WYATT DR STE 260, TUCSON, AZ 85712-6118
(520) 795-0549
(520) 795-0354
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
299520
AZ
Other
Enumeration date
11/19/2018
Last updated
02/09/2024
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