Individual
MS. KIMBERLEY CLOTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3715 N OLIVER ST, WICHITA, KS 67220
(316) 942-4519
(316) 942-4655
Mailing address
3715 N OLIVER ST, WICHITA, KS 67220-3404
(316) 942-4519
(316) 262-4887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
042538
KS
Other
Enumeration date
07/12/2005
Last updated
10/05/2020
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