Kilmeny Clark
NPI #1104443258 in Bloomington, Illinois
Provider Information
- NPI Number
- 1104443258
- Entity Type
- Individual
- Name
- Kilmeny Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 5, 2020
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 3024 E EMPIRE ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-5402
- Phone
- (309) 556-7556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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