Individual
KIMBERLY GAIL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 WESTLAKE RD STE 2, HARDY, VA 24101-3967
(540) 721-7798
(540) 721-8345
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101001640
VA
Other
Enumeration date
02/15/2013
Last updated
03/29/2021
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