Kimberly Ann Smith M.S. ED, ATC

NPI 1134198211 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1134198211
Gender Female
Enumeration Date 03/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5510 E STATE ST
ROCKFORD IL, 61108-2381, US
Phone (815) 395-4505
Fax (815) 395-4507
Business Location
165 HARVEST GLENN DR
DAVIS JUNCTION IL, 61020-9797, US
Phone (815) 645-2439
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
Remove 1134198211 NPI Number
 

According to our database, Mrs. Kimberly Ann Smith M.S. ED, ATC NPI is 1134198211, taxonomy code is 2255A2300X Kimberly Ann Smith M.S. ED, ATC physically located at 5510 E State St, Rockford IL, 61108-2381. NPI Number Kimberly Ann Smith M.S. ED, ATC has the Individual type.

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1134198211 NPI number is provided on an as is basis without warranty of any kind. 1134198211 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Smith M.S. ED, ATC are for informational purposes only.