Individual
KIMBERLY DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 FRIENDLY NEIGHBOR ROAD, CHAPMANVILLE, WV 25508
(304) 855-7104
Mailing address
1589 R A WEST HWY, DELBARTON, WV 25670-6102
(304) 784-3942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
923
WV
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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