Clark, Kemberly Dawn
Clark, Kemberly Dawn is an sole proprietor health care provider with primary practice located at 3000 Tapestry Dr Apt 3112 , Midlothian VA 23113-4396. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Clark, Kemberly Dawn can be contacted via phone (276) 620-6781.Contact Information
Primary practice address
3000 Tapestry Dr Apt 3112
Midlothian VA 23113-4396
Phone: (276) 620-6781
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0024187229 | Virginia |
Profile Details
NPI number | 1619660602 |
---|---|
LBN Legal business name | Clark, Kemberly Dawn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 26th, 2023 |
Last updated | May 29th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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