KIMBERLY DAWN SMITH NPI 1225732829

NPI Information

NPI: 1225732829
Provider Name: KIMBERLY DAWN SMITH
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
2030 LEWIS RD
HARRISBURG, IL
ZIP 62946
Phone: (618) 926-1401
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Kimberly Dawn Smith is a case management registered nurse in Harrisburg, IL. Kimberly Dawn Smith NPI is 1225732829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2030 LEWIS RD
HARRISBURG, IL
ZIP 62946-385
Phone: (618) 926-1401

The enumeration date for this NPI number is 3/28/2023 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	041376465	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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