Organization
INDEPENDENT NP MED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T CLARK CNP (CERTIFIED NURSE PRACTITIONER)
(216) 496-3530
Entity
Organization
Contact information
Practice address
15539 SARANAC RD, CLEVELAND, OH 44110-2458
(216) 496-3530
Mailing address
938 CHEROKEE TRL, WILLOUGHBY, OH 44094-7209
(216) 496-3530
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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