Kimberly Tenita Clark, CNP

NPI #1578752267 in Berea, Ohio

Provider Information

NPI Number: 1578752267
Entity Type: Individual
Name: Kimberly Tenita Clark, CNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: CNP
Enumeration Date: Oct 17, 2007
Last Updated: Oct 3, 2016

Practice Location

Address: 202 E BAGLEY RD
City: Berea
State: Ohio
ZIP Code: 44017-2058
Phone: (440) 260-8327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner	363L00000X

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