Kimberly Sue Clark in Geneva - Licensed Practical Nurse
Kimberly Sue Clark - NPI 1114996931
Kimberly Sue Clark is a Licensed Practical Nurse in Geneva, Ohio. Kimberly Sue Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kimberly Sue Clark is 1114996931. The last update date is 2021-03-19.
Kimberly Sue Clark's current location address is 523 Atkins Rd., Geneva, Ohio. You can contact this provider via phone number 4402180392. The mailing address for Kimberly Sue Clark is 523 Atkins Rd., Geneva, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Sue Clark |
|---|---|
| Address | 523 Atkins Rd., Geneva, Ohio |
| Phone Number | 4402180392 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1114996931 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 523 Atkins Rd. |
|---|---|
| City | Geneva |
| State | Ohio (OH) |
| Post Code | 44041 |
| Phone Number | 4402180392 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN096694 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2123991 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Sue Clark?
The Kimberly Sue Clark has been issued the NPI (National Provider Identifier) 1114996931 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kimberly Sue Clark is physically located?
The Kimberly Sue Clark is situated at the following address: 523 Atkins Rd., Geneva, OH 44041.
What is the Kimberly Sue Clark's area of specialization and corresponding taxonomy classification?
The Kimberly Sue Clark's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
When was the Kimberly Sue Clark's 1114996931 issued?
The Kimberly Sue Clark's 1114996931 was issued on 2006-03-15.
As of what date were the Kimberly Sue Clark's details last updated?
The information pertaining to the Kimberly Sue Clark, including its address, specialty, and other details, was most recently updated on 2021-03-19.