Individual
KIMBERLY M CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1111 SUMMIT AVE, FORT WORTH, TX 76102-3425
(817) 877-1199
Mailing address
4027 BOYD AVE, FORT WORTH, TX 76109-4548
(817) 298-1681
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1110369
TX
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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