Individual
KIMBERLY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 MAYHAM RD NE, CARROLLTON, OH 44615-9130
(330) 418-8794
(330) 418-8794
Mailing address
4141 MAYHAM RD NE, CARROLLTON, OH 44615-9130
(330) 418-8794
(330) 418-8794
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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