MRS. KIMBERLY YVONNE WHITE SMITH P.A. NPI 1811012271

NPI Information

NPI: 1811012271
Provider Name: MRS. KIMBERLY YVONNE WHITE SMITH, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
10 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 212-7000
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MRS. Kimberly Yvonne White Smith, P.A. is a medical physician assistant in Raleigh, NC with 20 years of experience. MRS. Kimberly Yvonne White Smith, P.A. NPI is 1811012271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

10 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-808
Phone: (919) 212-7000

The NPI 1811012271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/17/2012.

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	363A00000X	Physician Assistant		104236	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	104236	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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