Individual
CLIFFORD KENT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 S EAST LN, BLOOMINGTON, IN 47403-9400
(812) 322-9493
Mailing address
4615 S EAST LN, BLOOMINGTON, IN 47403-9400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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