Smith, Kimberly
Smith, Kimberly is an sole proprietor health care provider with primary practice located at 106 Country Club Dr , Ashland KY 41101-2136. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Smith, Kimberly can be contacted via phone (606) 371-0224.Contact Information
Primary practice address
106 Country Club Dr
Ashland KY 41101-2136
Phone: (606) 371-0224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | OH3021991 | Ohio |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 200122906 | Kentucky |
Profile Details
| NPI number | 1366834129 |
|---|---|
| LBN Legal business name | Smith, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2015 |
| Last updated | Nov 17th, 2020 - about 5 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 | 1366834129 | NPPES |
| Ohio | MEDICAID | 20640377 |
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