Individual
KIMBERLY C CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7040
(207) 283-7850
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7040
(207) 283-7850
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R050962
ME
Other
Enumeration date
11/01/2006
Last updated
10/28/2011
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