Outlaw-Clark, Kimberly

Outlaw-Clark, Kimberly is an sole proprietor health care provider with primary practice located at 1906 Brown Ave , Panama City FL 32405-1130. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Outlaw-Clark, Kimberly can be contacted via phone (850) 625-0773.

Contact Information

Primary practice address
1906 Brown Ave Panama City FL 32405-1130
Phone: (850) 625-0773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA50175 Florida

Profile Details

NPI number 1215109491
LBN Legal business name Outlaw-Clark, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2008
Last updated Mar 28th, 2008 - 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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