Clinton, Kimberly Suzanne

Clinton, Kimberly Suzanne is an individual health care provider with primary practice located at 1525 Country Club Road , Sherwood AR 72120-5076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clinton, Kimberly Suzanne can be contacted via phone (501) 758-1530.

Contact Information

Primary practice address
1525 Country Club Road Sherwood AR 72120-5076
Phone: (501) 758-1530
Fax: (501) 819-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1161 Arkansas

Profile Details

NPI number 1790701555
LBN Legal business name Clinton, Kimberly Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 10th, 2023 - about 2 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 1790701555 NPPES
Arkansas MEDICAID 131535001

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