Kimberly Nokole Smallwood, REGISTERED NURSE is a
Registered Nurse - General Practice based in River Rouge, Michigan. Kimberly Nokole Smallwood is licensed to practice in Michigan (license number 4704373175) and her current practice location is
31 W Pleasant St Fl 1, River Rouge, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 740-3409.
NPI number for Kimberly Nokole Smallwood is 1710769971 and her current mailing address is 31 W Pleasant St Fl 1, River Rouge, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710769971.
Provider's Profile
Full Name | Kimberly Nokole Smallwood |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 31 W Pleasant St Fl 1, River Rouge, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710769971
- Provider Enumeration Date: 10/20/2023
- Last Update Date: 10/20/2023
Medical Identifiers
Medical identifiers for Kimberly Nokole Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710769971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 4704373175 (Michigan) | 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. Kimberly Nokole Smallwood 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 |
Kimberly Nokole Smallwood, REGISTERED NURSE 31 W Pleasant St Fl 1, River Rouge, MI 48218-1337 Ph: (313) 740-3409 | Kimberly Nokole Smallwood, REGISTERED NURSE 31 W Pleasant St Fl 1, River Rouge, MI 48218-1337 Ph: (313) 740-3409 |
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