Clemons, Kristin E

Clemons, Kristin E is an individual health care provider with primary practice located at 1201 Oakbridge Pkwy , Lakeland FL 33803-5945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Clemons, Kristin E can be contacted via phone (863) 279-1600.

Contact Information

Primary practice address
1201 Oakbridge Pkwy Lakeland FL 33803-5945
Phone: (863) 279-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 079600 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 52430 Wisconsin
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME137481 Florida

Profile Details

NPI number 1376530618
LBN Legal business name Clemons, Kristin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 19th, 2024 - about 2 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 1376530618 NPPES
Florida MEDICAID 101476800
Florida MEDICAID 4396267
Florida Other P00772226CD3624
Florida Other 250E26047
Florida Other LELVIKRI

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