MRS. Kimberly Ann Smith, M.S. ED, ATC

NPI #1134198211 in Rockford, Illinois

Provider Information

NPI Number
1134198211
Entity Type
Individual
Name
MRS. Kimberly Ann Smith, M.S. ED, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
M.S. ED, ATC
Enumeration Date
Mar 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5510 E STATE ST
ZIP Code
61108-2381
Phone
(815) 395-4505

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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