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Kim W Smith, NPC
Family Nurse Practitioner in Fayetteville, North Carolina
NPI 1811223464

Kim W Smith is a Family Nurse Practitioner based in Fayetteville, NC and is specialized in Family. Kim W Smith practices in Fayetteville, NC and has the professional credentials of NPC. The NPI Number for Kim W Smith is 1811223464 and holds a License No. 132460 (North Carolina).

The current practice location address for Kim W Smith is 5817 Tuckertown Ln, Fayetteville, NC and can be reached out via phone at 336-339-1163.

Location: 5817 Tuckertown Ln, Fayetteville, NC, 28314-1375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811223464
Provider Name
Kim W Smith
Credential
NPC
Provider Entity Type
Individual
Gender
Female
Address
5817 Tuckertown Ln, Fayetteville, NC, 28314-1375
Phone Number
336-339-1163
Fax Number
Provider Enumeration Date
11/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7004844 05 NC
institution
Provider Business Practice Location Address Details
Address
5817 Tuckertown Ln
City
Fayetteville
State
North Carolina
Zip
28314-1375
Phone Number
336-339-1163
Fax Number
person
Provider Business Mailing Address Details
Address
5817 Tuckertown Ln
City
Fayetteville
State
North Carolina
Zip
28314-1375
Phone Number
336-339-1163
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
132460 (North Carolina)
Definition
Definition to come...
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