Kimberly Ann Clark
Registered Nurse, Rehabilitation in Taylorsville, KY. Individual provider (NPI-1).
NPI number1962079665
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1962079665
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Ann Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0400X | Registered Nurse, Rehabilitation | 1081271 | KY | Yes |
Practice location
151 The LandingsTaylorsville, KY 40071-9521
Phone 502-445-8660
Mailing address
151 The LandingsTaylorsville, KY 40071-9521
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