Smith, Kimberley
Smith, Kimberley is an sole proprietor health care provider with primary practice located at 623 Country Day Rd , Goldsboro NC 27530-8888. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Kimberley can be contacted via phone (919) 330-1940.Contact Information
Primary practice address
623 Country Day Rd
Goldsboro NC 27530-8888
Phone: (919) 330-1940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5007058 | North Carolina |
Profile Details
| NPI number | 1942612890 |
|---|---|
| LBN Legal business name | Smith, Kimberley |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2014 |
| Last updated | Feb 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942612890 | NPPES |
| North Carolina | Other | MM3255862 | DEA |
| North Carolina | Other | 5007058 | DEA |
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