Individual
KIMBERLY CAMPBELL MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4321 COLLINGTON RD, BOWIE, MD 20716-2259
(301) 809-4000
Mailing address
112 DAVENPORT RD APT 533, SIMPSONVILLE, SC 29680-3755
(864) 356-4470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22269
SC
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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