Smith, Kimberly Dawn

Smith, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 4400 E Highway 20 Suite 203, Niceville FL 32578-8779. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Kimberly Dawn can be contacted via phone (850) 897-3678.

Contact Information

Primary practice address
4400 E Highway 20 Suite 203 Niceville FL 32578-8779
Phone: (850) 897-3678
Fax: (850) 897-3708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9414889 Zz

Profile Details

NPI number 1356717862
LBN Legal business name Smith, Kimberly Dawn
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356717862 NPPES
Florida Other ARNP9414889 FL LICENSE

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