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Contact Information

KIMBERLY S CLARK, LPN
523 ATKINS RD.
GENEVA, OH44041
 Phone: 440-218-0392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY S CLARK · (Female)

NPI Number 1114996931
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 03/15/2006
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # PN096694
  • OH Medicaid 2123991
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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