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Individual

KIMBERLY RENE CLAFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
5100 LAKE TER NE STE WC, MOUNT VERNON, IL 62864-9665
(618) 899-5001
(618) 242-5152
Mailing address
5100 LAKE TER NE STE WC, MOUNT VERNON, IL 62864-9665
(618) 899-5001
(618) 242-5152

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024017
IL

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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