Whalio Doctors

NPI 1003641119

Kevin Deville Clemmons

Practitioner Community Health Worker Sacramento, CA

Practice location

Address
New Direction-650 Howe Ave Bldg. 400-B, Sacramento, CA 95825
Phone
(916) 441-0123
Fax
(916) 441-6893
Mailing address
New Direction- 650 Howe Ave. Bldg. 400-B, Sacramento, CA 95825

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1003641119
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Sep 2024
Record last updated
6 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.