Dr. Kim Winona Smith
Periodontist
10138 Ne 64th St Apt 37
Kirkland
, Washington 98033-6861
Dr. Kim Winona Smith
Periodontist
10138 Ne 64th St Apt 37
Kirkland
, Washington 98033-6861
(425) 827-1731
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Kim Winona Smith
- Po Box 53
- Kirkland, WA
- Zip : 98083-0053
- Phone : (425) 827-1731
Second Address
- Dr. Kim Winona Smith
- 10138 Ne 64th St Apt 37
- Kirkland, WA
- Zip : 98033-6861
- Phone : (425) 827-1731
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0300X | Periodontist | 30-01-8319 | OH |
| Y | 1223P0300X | Periodontist | DE00006771 | WA |
National Provider Identifier
| NPI | 1063620169 |
|---|---|
| Provider Name | Dr. Kim Winona Smith |
| First Address | Kirkland, WA 98083-0053 |
| Second Address | Kirkland, WA 98033-6861 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.