Individual
KIMBERLY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6092 HICKMAN RD NE, NEWARK, OH 43055-9762
(740) 403-3699
Mailing address
6092 HICKMAN RD NE, NEWARK, OH 43055-9762
(740) 403-3699
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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