Individual
KAREN ALICE CLEMENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 DENNISON AVE, SUITE 200, COLUMBUS, OH 43201-3497
(614) 564-9067
(614) 564-9167
Mailing address
1608 LAFAYETTE DR, COLUMBUS, OH 43220-3867
(614) 208-0361
(614) 564-9167
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03328855
OH
207Q00000X
Family Medicine Physician
35053771
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04705850173
MEDICAL EDUCATION NUMBER
—
05
—
0667587
—
OH
Enumeration date
10/19/2006
Last updated
12/15/2020
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