Individual
MRS. KIMBERLY DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ED., CCC/SLP
Contact information
Practice address
422 WELLINGTON WAY, WINCHESTER, KY 40391-8443
(859) 377-0005
Mailing address
422 WELLINGTON WAY, WINCHESTER, KY 40391-8443
(859) 377-0005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
KY-3542
KY
235Z00000X
Speech-Language Pathologist
Primary
KY07097
KY
Other
Enumeration date
07/08/2008
Last updated
03/24/2020
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