Kimberly Sue Clemens, LPN
Licensed Practical Nurse in Peoria, AZ. Individual provider (NPI-1).
NPI number1962066548
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1962066548
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Sue Clemens
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2019
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP054127 | AZ | Yes |
Other names
- Kimberly Sue Overton (Former Name)
Practice location
9880 N 77th AvePeoria, AZ 85345-6667
Phone 623-486-6479
Mailing address
9880 N 77th AvePeoria, AZ 85345-6667
Phone 623-486-6479
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All 22 Licensed Practical Nurse providers in Peoria · All 3,876 providers in Peoria
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