Clements, Kim Sprouse

Clements, Kim Sprouse is an sole proprietor health care provider with primary practice located at 13321 N Meridian Ave H-Md Medspa, Oklahoma City OK 73120-8356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clements, Kim Sprouse can be contacted via phone (405) 463-5700.

Contact Information

Primary practice address
13321 N Meridian Ave H-Md Medspa Oklahoma City OK 73120-8356
Phone: (405) 463-5700
Fax: (405) 463-5705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0030796 Oklahoma

Profile Details

NPI number 1548255599
LBN Legal business name Clements, Kim Sprouse
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Jul 1st, 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 1548255599 NPPES
Oklahoma Other 30796 STATE LICENSE

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