Kimberlie Smothermon, is a
Massage Therapist based in Wagoner, Oklahoma. Kimberlie Smothermon is licensed to practice in * (Not Available) (license number ) and her current practice location is
1413 Ford Circle Dr, Wagoner, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 861-3410.
NPI number for Kimberlie Smothermon is 1033567870 and her current mailing address is 1413 Ford Circle Dr, Wagoner, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033567870.
Healthcare Provider's Profile
Full Name | Kimberlie Smothermon |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1413 Ford Circle Dr, Wagoner, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033567870
- Provider Enumeration Date: 06/02/2016
- Last Update Date: 06/02/2016
Medical Identifiers
Medical identifiers for Kimberlie Smothermon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033567870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberlie Smothermon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberlie Smothermon, 1413 Ford Circle Dr, Wagoner, OK 74467-7016 Ph: (918) 861-3410 | Kimberlie Smothermon, 1413 Ford Circle Dr, Wagoner, OK 74467-7016 Ph: (918) 861-3410 |
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