National Provider Identifier

Kimberly Olivia Clark-Herbert

Kimberly Olivia Clark-Herbert is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 309-1265.

NPI 1083932933Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1083932933
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 16, 2010
Last Updated
May 16, 2010

Practice Location

  • 395 Columbia Ave
  • Rochester, NY 14611-3637

Phone: (585) 309-1265

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1083932933
Entity Type
Individual
Last Name
Clark-Herbert
First Name
Kimberly
Middle Name
Olivia
Name Prefix
Mrs.
Mailing Street Address
395 Columbia Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3637
Mailing Country
US
Mailing Phone
(585) 309-1265
Practice Street Address
395 Columbia Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3637
Practice Country
US
Practice Phone
(585) 309-1265
Enumeration Date
May 16, 2010
Last Updated
May 16, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)