Individual provider · Type 1 NPI
Kimberly Clough, FNP-C
Family Nurse Practitioner · Palm Coast, FL
NPI number
1417595646
Active
Practice location
63 Pine Haven Dr
Palm Coast, FL 32164-7029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11005037 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417595646
Kimberly Clough, FNP-C's National Provider Identifier is 1417595646, issued on Dec 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Coast, FL. The record was last updated on Aug 4, 2023.