Clement, Kathi D.

Clement, Kathi D. is an individual health care provider with primary practice located at 1601 N Bishop Ave , Rolla MO 65401-2249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clement, Kathi D. can be contacted via phone (573) 364-8100.

Contact Information

Primary practice address
1601 N Bishop Ave Rolla MO 65401-2249
Fax: (573) 341-9475
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36072 Missouri

Profile Details

NPI number 1780721431
LBN Legal business name Clement, Kathi D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated May 2nd, 2013 - about 13 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 1780721431 NPPES
Missouri MEDICAID 205822505

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