Individual
KIMBERLY LYNNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
2107 E WILLIS RD, GILBERT, AZ 85297-2089
(480) 586-8541
Mailing address
2107 E WILLIS RD, GILBERT, AZ 85297-2089
(480) 586-8541
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-303739
AZ
163WM0102X
Maternal Newborn Registered Nurse
227329
AZ
374J00000X
Doula
—
AZ
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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