Clark, Kilmeny

Clark, Kilmeny is an individual health care provider with primary practice located at 3024 E Empire St , Bloomington IL 61704-5402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Kilmeny can be contacted via phone (309) 556-7556.

Contact Information

Primary practice address
3024 E Empire St Bloomington IL 61704-5402
Phone: (309) 556-7556
Fax: (309) 556-7551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5318-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008097 Illinois

Profile Details

NPI number 1104443258
LBN Legal business name Clark, Kilmeny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2020
Last updated Jun 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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