Individual
KIMBERLY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10811 W 6TH AVE, AIRWAY HEIGHTS, WA 99001-5345
(509) 481-4990
Mailing address
6275 E FRENCH GULCH RD, COEUR D ALENE, ID 83814-7755
(541) 921-5302
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69408
ID
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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