Smith, Kimberly Denise

Smith, Kimberly Denise is an individual health care provider with primary practice located at 5284 Adolfo Rd , Camarillo CA 93012-6787. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Kimberly Denise can be contacted via phone (805) 289-0120.

Contact Information

Primary practice address
5284 Adolfo Rd Camarillo CA 93012-6787
Phone: (805) 289-0120
Fax: (805) 289-0130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1225336563
LBN Legal business name Smith, Kimberly Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2011
Last updated Aug 17th, 2016 - 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 1225336563 NPPES
California Other 56CC ASPIRA

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