Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kilmeny Clark

Physician Assistant in Bloomington, IL · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104443258

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Registry record

Entity type Individual (Type 1)

Name Kilmeny Clark

Sex Female

Practice address 3024 E Empire St, Bloomington, IL, 61704

Phone (309) 556-7556

Fax (309) 556-7551

Enumeration date Jul 5, 2020

Last updated in NPPES Jun 9, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5318-23 (WI) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085.008097 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kilmeny Clark?

The National Provider Identifier (NPI) for Kilmeny Clark is 1104443258, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kilmeny Clark practice?

The practice location on file with NPPES is in Bloomington, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-09.