Individual
KIMBERLY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 THE LANDINGS, TAYLORSVILLE, KY 40071-9521
(502) 445-8660
Mailing address
151 THE LANDINGS, TAYLORSVILLE, KY 40071-9521
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
1081271
KY
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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