Individual
KIMBERLY TENITA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8327
(440) 260-8305
Mailing address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8900
(440) 260-8576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
304700
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.14022
OH
363L00000X
Nurse Practitioner
COA.14022
OH
363LA2200X
Adult Health Nurse Practitioner
A0812095
OH
Other
Enumeration date
10/17/2007
Last updated
10/03/2016
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