Kimberly Sue Clark LPN

NPI 1114996931 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114996931
Gender Female
Enumeration Date 03/15/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4563 S RIDGE RD E
GENEVA OH, 44041-7310, US
Phone (440) 415-0844
Fax
Business Location
4563 S RIDGE RD E
GENEVA OH, 44041-7310, US
Phone (440) 415-0844
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN096694
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According to our database, Mrs. Kimberly Sue Clark LPN NPI is 1114996931, taxonomy code is 164W00000X and license number is PN096694, license state is located at Ohio. Kimberly Sue Clark LPN physically located at 4563 S Ridge Rd E, Geneva OH, 44041-7310. NPI Number Kimberly Sue Clark LPN has the Individual type.

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1114996931 NPI number is provided on an as is basis without warranty of any kind. 1114996931 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Sue Clark LPN are for informational purposes only.