Smith, Kimberly R
Smith, Kimberly R is an individual health care provider with primary practice located at 3641 Northside Ct , Key West FL 33040-4258. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Smith, Kimberly R can be contacted via phone (305) 393-4277.Contact Information
Primary practice address
3641 Northside Ct
Key West FL 33040-4258
Phone: (305) 393-4277
Fax: (305) 292-4783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | SA11616 | Florida |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | HO451A | Florida |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 010607-1 | New York |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 11616 | Florida |
Profile Details
| NPI number | 1790824860 |
|---|---|
| LBN Legal business name | Smith, Kimberly R |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Aug 11th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790824860 | NPPES |
| Florida | Other | HO451A | MEDICARE PART B |
| Florida | Other | 09126830 | MEDICARE PART B |
| Florida | Other | 010607-1 | MEDICARE PART B |
| Florida | Other | SA 11616 | MEDICARE PART B |
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