Smith, Kimberly Denise

Smith, Kimberly Denise is an individual health care provider with primary practice located at 720 14Th Ave Fl 2 , Longview WA 98632-2315. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Smith, Kimberly Denise can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Ave Fl 2 Longview WA 98632-2315
Fax: (360) 423-7086
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 60756167 Washington

Profile Details

NPI number 1184140881
LBN Legal business name Smith, Kimberly Denise
Credentials CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Jul 21st, 2022 - about 2 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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