Clark, Kimberly S.

Clark, Kimberly S. is an individual health care provider with primary practice located at 300 Foxglove Dr , Mt Sterling KY 40353-9769. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clark, Kimberly S. can be contacted via phone (859) 498-2135.

Contact Information

Primary practice address
300 Foxglove Dr Mt Sterling KY 40353-9769
Phone: (859) 498-2135
Fax: (859) 498-7547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1636 Kentucky

Profile Details

NPI number 1790931582
LBN Legal business name Clark, Kimberly S.
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Nov 6th, 2014 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790931582 NPPES
Kentucky MEDICAID 30610026

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