KIMBERLY NICOLE CLARK NPI 1548741358

NPI Information

NPI: 1548741358
Provider Name: KIMBERLY NICOLE CLARK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4202 SW LEE BLVD
LAWTON, OK
ZIP 73505
Phone: (575) 642-3673
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Kimberly Nicole Clark is a professional counselor in Lawton, OK. Kimberly Nicole Clark NPI is 1548741358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4202 SW LEE BLVD
LAWTON, OK
ZIP 73505-300
Phone: (575) 642-3673

The enumeration date for this NPI number is 8/29/2018 and was last updated on 7/20/2020.

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
1	101YP2500X	Counselor	Professional		OKLAHOMA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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