Individual
MRS. KIMBERLY YVONNE WHITE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
200 SWINBURNE ST, RALEIGH, NC 27610
(919) 250-1120
Mailing address
200 SWINBURNE ST, RALEIGH, NC 27610
(919) 250-1120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
104236
NC
363AM0700X
Medical Physician Assistant
Primary
104236
NC
Other
Enumeration date
03/21/2007
Last updated
05/06/2026
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