Individual
MR. KEVIN C CLEARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNFP
Contact information
Practice address
110 MILLSAPS DR, HATTIESBURG, MS 39402-1347
(601) 261-5710
(601) 268-5058
Mailing address
110 MILLSAPS DR, HATTIESBURG, MS 39402-1347
(601) 261-5710
(601) 268-5058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122565
—
MS
Enumeration date
06/10/2005
Last updated
11/16/2007
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