Kimberly Carol Clark, BSCMT
Kimberly Carol Clark, BSCMT is a Specialist in Portage, Michigan. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
7901 S 12th St Ste 200Portage, MI 49024-3831
Phone: (269) 720-6833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1538593009 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BSCMT |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2013 |
| Last updated in NPPES | September 4, 2013 |
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