Clark, Kimberly Nicole

Clark, Kimberly Nicole is an individual health care provider with primary practice located at 4202 Sw Lee Blvd , Lawton OK 73505-8300. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Kimberly Nicole can be contacted via phone (575) 642-3673.

Contact Information

Primary practice address
4202 Sw Lee Blvd Lawton OK 73505-8300
Phone: (575) 642-3673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Oklahoma

Profile Details

NPI number 1548741358
LBN Legal business name Clark, Kimberly Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Jul 20th, 2020 - about 6 years ago

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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