Kimberly R Smith in Key West - Developmental Therapist
Kimberly R Smith - NPI 1790824860
Kimberly R Smith is a Developmental Therapist in Key West, Florida. Kimberly R Smith practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Kimberly R Smith is 1790824860. The last update date is 2017-08-11.
Kimberly R Smith's current location address is 3641 Northside Ct, Key West, Florida. You can contact this provider via phone number 3053934277 and fax number 3052924783. The mailing address for Kimberly R Smith is 3641 Northside Ct, Key West, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly R Smith |
|---|---|
| Address | 3641 Northside Ct, Key West, Florida |
| Phone Number | 3053934277 |
| Fax Number | 3052924783 |
| Sole Proprietor | N |
| Credentials | M.A. CCC-S |
NPI Number Detail
| NPI Number | 1790824860 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2017-08-11 |
Provider Mailing Address Detail
| Address | 3641 Northside Ct |
|---|---|
| City | Key West |
| State | Florida (FL) |
| Post Code | 330404258 |
| Phone Number | 3053934277 |
| Fax Number | 3052924783 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | SA11616 |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HO451A | FL | MEDICARE PART B | |
| 9126830 | ASHA CERTIFICATION NUMBER | ||
| 010607-1 | NY | NEW YORK STATE LICENSE # | |
| SA 11616 | FL | STATE OF FLORIDA DEPARTMENT OF |
Post Comment/ Review Below
What is the Kimberly R Smith's 1790824860?
The Kimberly R Smith's NPI (National Provider Identifier) Number is 1790824860. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kimberly R Smith?
The Kimberly R Smith is situated at 3641 Northside Ct, in the city of Key West, state of FL, with the zip code 330404258.
What is Kimberly R Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberly R Smith's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
When did Kimberly R Smith receive its 1790824860 assignment?
The Kimberly R Smith was assigned its 1790824860 on 2007-02-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Kimberly R Smith most recently updated or refreshed?
The details pertaining to the Kimberly R Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-11.