Clark-Raby, Kimberlee Ann

Clark-Raby, Kimberlee Ann is an individual health care provider with primary practice located at 1161 Cirby Way , Roseville CA 95661-4421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Clark-Raby, Kimberlee Ann can be contacted via phone (916) 782-1238.

Contact Information

Primary practice address
1161 Cirby Way Roseville CA 95661-4421
Phone: (916) 782-1238
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21308 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 21308 California

Profile Details

NPI number 1356580906
LBN Legal business name Clark-Raby, Kimberlee Ann
Credentials A.G.N.P.-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Nov 20th, 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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