National Provider Identifier
Kimberley Ann Clark, PT
Kimberley Ann Clark, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Canandaigua, NY and a listed phone number of (585) 394-9510.
Profile Overview
- NPI
- 1225280886
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 15, 2008
- Last Updated
- October 15, 2008
Practice Location
- 5415 County Road 30
- Canandaigua, NY 14424-7964
Phone: (585) 394-9510
Mailing Address
- 68 Princeton Ln
- Fairport, NY 14450-9027
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1225280886
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kimberley
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- PT
- Provider Other Last Name
- Brhel
- Provider Other First Name
- Kimberley
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 68 Princeton Ln
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9027
- Mailing Country
- US
- Mailing Phone
- (585) 598-3092
- Practice Street Address
- 5415 County Road 30
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-7964
- Practice Country
- US
- Practice Phone
- (585) 394-9510
- Enumeration Date
- October 15, 2008
- Last Updated
- October 15, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)