| Doctor Name: | KIMBERLY SMITH |
| NPI Number: | 1043589849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NNP |
| License Number: | 571761 |
| Business Practice Address: | 600 Roe Ave Elmira, NY - 149051629 |
| Business Phone Number: | 6077374543 |
| Business Fax Number: | 6077377774 |
| Mailing Address: | 600 Roe Ave, ELMIRA |
| State: | NY |
| Postal Code: | 149051629 |
| Phone Number: | 6077374223 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2011 |
| NPI Last Update Date: | 12/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0002X |
| License Number: | 571761 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neonatal Intensive Care |
| Taxonomy Definition: | |