Individual
MS. KIMBERLY MOSER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N
Contact information
Practice address
1526 E MAIN STREE, MELBOURNE MEDICAL CLINIC, MELBOURNE, AR 72556-3736
(870) 368-4344
(870) 368-3051
Mailing address
1526 E. MAIN STREET, MELBOURNE MEDICAL CLINIC, MELBOURNE, AR 72556
(870) 368-4344
(870) 368-3051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01757
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152621758
—
AR
01
—
P00130335
RAILROAD MEDICARE
AR
Enumeration date
03/01/2006
Last updated
01/19/2016
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