Most Relevant Information
Provider Data
| NPI Number: | 1003042730 |
| Provider Name: | KIMBERLY SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | D0084060 |
Most Important Dates
| Enumeration Date: | 06/09/2009 |
| Last Updated: | 04/07/2023 |
Provider Practice Location
110 IRVING ST NW
WASHINGTON
DC
200103017
Practice Location Phone/Fax
| Phone: | 3019021073 |
| Fax: |
Provider Mailing Location
10980 GRANTCHESTER WAY
COLUMBIA
MD
210446097
Provider Mailing Phone/Fax
| Phone: | 3019021073 |
| Fax: |