SearchIllinois163WC0400X

Kimberly Smith

NPI 1225732829 · on the registry since 2023 · sole proprietor

Practice

Address
2030 Lewis Rd
Harrisburg, IL 62946
Phone
(618) 926-1401

Registry record

Primary taxonomy
163WC0400X
163WC0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois