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Kilmeny Clark
NPI 1104443258 · on the registry since 2020
Practice
- Address
- 3024 E Empire St
Bloomington, IL 61704 - Phone
- (309) 556-7556
- Fax
- (309) 556-7551
- Clinicians at this address
- 43
Additional practice sites
- 300 W Oak St, Carbondale, IL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois