Smith, Kimberley Harris
Smith, Kimberley Harris is an individual health care provider with primary practice located at 2255 S Burnside Ave , Gonzales LA 70737-4642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Kimberley Harris can be contacted via phone (800) 256-3947.Contact Information
Primary practice address
2255 S Burnside Ave
Gonzales LA 70737-4642
Phone: (800) 256-3947
Fax: (225) 250-1026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP05502 | Louisiana |
Profile Details
| NPI number | 1134314198 |
|---|---|
| LBN Legal business name | Smith, Kimberley Harris |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | May 5th, 2021 - about 3 years ago |
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 | 1134314198 | NPPES |
| Louisiana | MEDICAID | 1018937 |
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