Clearman, Kevin C

Clearman, Kevin C is an individual health care provider with primary practice located at 110 Millsaps Dr , Hattiesburg MS 39402-1347. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clearman, Kevin C can be contacted via phone (601) 261-5710.

Contact Information

Primary practice address
110 Millsaps Dr Hattiesburg MS 39402-1347
Phone: (601) 261-5710
Fax: (601) 268-5058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R852021 Mississippi

Profile Details

NPI number 1477557098
LBN Legal business name Clearman, Kevin C
Credentials CNFP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 16th, 2007 - about 17 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 1477557098 NPPES
Mississippi MEDICAID 00122565

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