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Contact Information

KIMBERLY S CLARK, FNP-BC
8881 M 119
HARBOR SPRINGS, MI49740
 Phone: 231-347-5400
 Fax: 231-348-2515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1386942837
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/08/2011
Last updated 12/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704254566
  • MI Other 4704254566 STATE OF MICHIGAN
Hospital affiliation(s)
  • MACKINAC STRAITS HOSPITAL AND HEALTH CENTER - (Critical Access)
    1140 N STATE STREET
    SAINT IGNACE, MI 49781
  • MCLAREN-NORTHERN MICHIGAN - (Acute Care)
    416 CONNABLE AVE
    PETOSKEY, MI 49770
  • MUNSON MEDICAL CENTER - (Acute Care)
    1105 SIXTH STREET
    TRAVERSE CITY, MI 49684
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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