Kimberly Nicole Clark, MMS, PA-C

NPI #1720624166 in Elgin, Illinois

Provider Information

NPI Number: 1720624166
Entity Type: Individual
Name: Kimberly Nicole Clark, MMS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MMS, PA-C
Enumeration Date: Nov 20, 2019
Last Updated: Dec 16, 2021

Practice Location

Address: 1600 N RANDALL RD STE 400
City: Elgin
State: Illinois
ZIP Code: 60123-7805
Phone: (847) 381-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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