Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY CAROL CLARK, B.S. CMT

Active Sole Proprietor

Specialist · PORTAGE, MI

Registration Details

NPI Number: 1538593009
Provider Type: Individual
Gender: Female
NPI Issued: Sep 2, 2013 (12.661483064157 yrs)
Last Updated: Sep 4, 2013
Sole Proprietor: Yes

Practice Information

Address: 7901 S 12TH ST

SUITE 200

PORTAGE, MI, 490243831
Browse MI providers · Browse ZIP 49024
Phone: 2697206833
Primary Specialty: Specialist
174400000X

Other Specialist Providers in PORTAGE, MI

Name	Credential	NPI
MICHAEL C NAVE	MD	1104810340
LARRY R WALTON	—	1063440311
MR. DAVID R AREAUX	PHYSICIAN ASSISTANT	1740308964
REBECCA BRANCHEAU	LMT	1972952182
SAMANTHA KOHN	—	1104277672
HANNAH PATRICIA CHRISTENSEN	—	1164873618

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.