Individual
KIMBERLY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3564 SCOTTSDALE ST, PORTAGE, IN 46368-5420
(219) 763-8112
(219) 764-5384
Mailing address
1417 N GRIFFITH BLVD, GRIFFITH, IN 46319-1543
(219) 763-8112
(219) 764-5384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28157085A
IN
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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