Individual
KIMBERLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPST
Contact information
Practice address
2554 W 25TH ST, CLEVELAND, OH 44113-4700
(216) 781-2250
(216) 781-2252
Mailing address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
(216) 431-4151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
APS001219
OH
Other
Enumeration date
12/27/2017
Last updated
01/16/2024
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