Individual
MRS. PAMELA LEE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-1020
Mailing address
RR 1 BOX 282, CAVE IN ROCK, IL 62919-9764
(618) 289-4750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1108115
KY
163W00000X
Registered Nurse
—
IL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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