Individual
KIMBERLY DIANE CLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1910 RECTOR RD., PARAGOULD, AR 72450
(870) 240-8500
(870) 240-8505
Mailing address
1910 RECTOR RD., PARAGOULD, AR 72450
(870) 240-8500
(870) 240-8505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L47766
AR
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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