Individual
KEVIN M. CLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7171
(614) 293-3465
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-7171
(614) 366-0003
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
377072
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.021070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239538
—
OH
Enumeration date
05/31/2017
Last updated
07/21/2022
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