Individual
KIMBERLY ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2882
(410) 328-2977
Mailing address
4811 CHEVY CHASE DR, CHEVY CHASE, MD 20815-6409
(202) 782-9806
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C0002396
MD
363AS0400X
Surgical Physician Assistant
009342-1
NY
Other
Enumeration date
02/02/2007
Last updated
03/07/2025
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