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MRS. KIMBERLY SUE CLARK LPN
NPI 1114996931
Licensed Practical Nurse in Geneva, OH

Active since March 15, 2006
523 ATKINS RD., GENEVA, OH 44041(440) 218-0392 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Sue Clark Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY SUE CLARK LPN (NPI 1114996931) is an individual licensed practical nurse in Geneva, Ohio, licensed in Ohio (PN096694) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1114996931
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KIMBERLY SUE CLARKCredential: LPN
Location Address523 ATKINS RD.Geneva, OH 44041
Mailing Address523 Atkins Rd.Geneva, OH 44041 · (440) 218-0392
Phone(440) 218-0392
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1114996931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN096694
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
523 ATKINS RD., Geneva, OH 44041
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Other Identifiers 1

Medicaid2123991OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Clark's NPI number?

The NPI number for Kimberly Clark is 1114996931. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Kimberly Clark located?

Kimberly Clark practices at 523 Atkins Rd., Geneva, OH 44041. The listed phone number is (440) 218-0392.

What is Kimberly Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.