# MRS. KIMBERLEE ANN CLARK-RABY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356580906
- **Gender:** F
- **Credential:** A.G.N.P.-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 21308 | CA | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 21308 | CA | — |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 11/20/2014