Clements, Kimberlynn M
Clements, Kimberlynn M is an individual health care provider with primary practice located at 4040 Dutchmans Ln , Louisville KY 40207-4712. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Clements, Kimberlynn M can be contacted via phone (855) 313-2020.Contact Information
Primary practice address
4040 Dutchmans Ln
Louisville KY 40207-4712
Phone: (855) 313-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18004172A | Indiana |
Profile Details
| NPI number | 1477114379 |
|---|---|
| LBN Legal business name | Clements, Kimberlynn M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2019 |
| Last updated | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477114379 | NPPES |
| Indiana | MEDICAID | PENDING |
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