Individual
KIMBERLEY CAROL CLARK-PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 RICHARDSON ST, PORT HURON, MI 48060-3548
(810) 982-1111
(810) 982-8848
Mailing address
1216 WASHINGTON AVE, PORT HURON, MI 48060-3555
(810) 982-1111
(810) 982-8848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301404907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952410987
—
MI
Enumeration date
08/30/2006
Last updated
02/27/2018
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