Individual
KIMBERLY CLARK PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9464 UNIONVILLE RD, PLAIN CITY, OH 43064-9734
(614) 332-0765
(614) 873-2811
Mailing address
9464 UNIONVILLE RD, PLAIN CITY, OH 43064-9734
(614) 332-0765
(614) 873-2811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN365963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN365963
OHIO BOARD OF NURSING
OH
Enumeration date
12/11/2009
Last updated
11/16/2010
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