Individual
KIMBERLY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11251 WESTWOOD AVE, DENHAM SPRINGS, LA 70726-6947
(225) 937-9653
Mailing address
11251 WESTWOOD AVE, DENHAM SPRINGS, LA 70726-6947
(225) 937-9653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08910
LA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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