MR. KENNETH CLEMENTS RNFA NPI 1215934757

NPI Information

  • NPI: 1215934757
  • Provider Name: MR. KENNETH CLEMENTS, RNFA
  • Classification: Registered Nurse - 163WR0006X
  • Specialization: Registered Nurse First Assistant
  • Entity Type: Individual
  • Address: 9 PARK PL
    SWANSEA, IL
    ZIP 62226
  • Phone: (618) 233-5722

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NPI Details

MR. Kenneth Clements, RNFA is a registered nurse first assistant registered nurse in Swansea, IL. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. MR. Kenneth Clements, RNFA NPI is 1215934757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 PARK PL
SWANSEA, IL
ZIP 62226-967
Phone: (618) 233-5722
Fax: (618) 233-7069

The enumeration date for this NPI number is 6/30/2005 and was last updated on 11/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WR0006XRegistered NurseRegistered Nurse First Assistant041296721ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1041296721OTHERILLINOISLICENSE
2084592OTHERMISSOURILICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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