Individual
KIMBERLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25035 NW 6TH AVE, NEWBERRY, FL 32669-6122
(352) 472-1902
(352) 472-1902
Mailing address
PO BOX 142, NEWBERRY, FL 32669-0142
(352) 472-1902
(352) 472-1902
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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