Clark-Paul, Kimberley Carol
Clark-Paul, Kimberley Carol is an individual health care provider with primary practice located at 1221 Richardson St , Port Huron MI 48060-3548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clark-Paul, Kimberley Carol can be contacted via phone (810) 982-1111.Contact Information
Primary practice address
1221 Richardson St
Port Huron MI 48060-3548
Phone: (810) 982-1111
Fax: (810) 982-8848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301404907 | Michigan |
Profile Details
| NPI number | 1952410987 |
|---|---|
| LBN Legal business name | Clark-Paul, Kimberley Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 27th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952410987 | NPPES |
| Michigan | MEDICAID | 1952410987 |
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