Clements, Kenneth

Clements, Kenneth is an individual health care provider with primary practice located at 9 Park Pl , Swansea IL 62226-2967. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Clements, Kenneth can be contacted via phone (618) 233-5722.

Contact Information

Primary practice address
9 Park Pl Swansea IL 62226-2967
Phone: (618) 233-5722
Fax: (618) 233-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 041296721 Illinois

Profile Details

NPI number 1215934757
LBN Legal business name Clements, Kenneth
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 2nd, 2009 - about 15 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 1215934757 NPPES
Illinois Other 041296721 LICENSE
Illinois Other 084592 LICENSE

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