Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8218 MERRIWEATHER CIR, RALEIGH, NC 27616-5699
(910) 803-8720
Mailing address
8218 MERRIWEATHER CIR, RALEIGH, NC 27616-5699
(910) 803-8720
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG01210014
NC
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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