| Doctor Name: | KIMBERLEY HARRIS SMITH |
| NPI Number: | 1134314198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | AP05502 |
| Business Practice Address: | 8369 Florida Blvd Suite 8 Denham Springs, LA - 707267862 |
| Business Phone Number: | 2256655149 |
| Business Fax Number: | 2256671770 |
| Mailing Address: | 8369 Florida Blvd, Suite 8 DENHAM SPRINGS |
| State: | LA |
| Postal Code: | 707267862 |
| Phone Number: | 2256655149 |
| Fax Number: | 2256671770 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP05502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |