Individual
DR. KIMBERLYNN M CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4040 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(855) 313-2020
Mailing address
4040 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
06/23/2019
Last updated
09/25/2024
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