Clark, Kimberly Sue

Clark, Kimberly Sue is an individual health care provider with primary practice located at 523 Atkins Rd. , Geneva OH 44041. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Kimberly Sue can be contacted via phone (440) 218-0392.

Contact Information

Primary practice address
523 Atkins Rd. Geneva OH 44041
Phone: (440) 218-0392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN096694 Ohio

Profile Details

NPI number 1114996931
LBN Legal business name Clark, Kimberly Sue
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 19th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114996931 NPPES
Ohio MEDICAID 2123991

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