Kilmeny Clark
NPI 1104443258 · Physician Assistant · Bloomington, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kilmeny Clark is a Physician Assistant provider in Bloomington, IL (NPI 1104443258).
Provider details
- NPI number
- 1104443258
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5318-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 300 W Oak StCarbondale, IL 62901-1400Phone: (618) 453-8850
Registry dates
- Enumerated
- 2020-07-05
- Last updated
- 2025-06-09
- Certified
- 2025-05-21
Frequently asked questions
- What is Kilmeny Clark's NPI number?
- Kilmeny Clark's National Provider Identifier (NPI) is 1104443258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kilmeny Clark's specialty?
- Kilmeny Clark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kilmeny Clark located?
- Kilmeny Clark's practice location on file with NPPES is 3024 E Empire St, Bloomington, IL 61704-5402.
- What is Kilmeny Clark's phone number?
- The practice phone number listed in the NPPES registry for Kilmeny Clark is (309) 556-7556.
- Does Kilmeny Clark accept Medicare?
- Kilmeny Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kilmeny Clark's NPI active?
- Yes — Kilmeny Clark's NPI (1104443258) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.