Provider Demographics
NPI:1730564253
Name:CLEMENTS, AMBER ROSE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ROSE
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E 47TH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-1867
Mailing Address - Country:US
Mailing Address - Phone:859-361-9624
Mailing Address - Fax:513-351-2481
Practice Address - Street 1:1717 SECTION RD STE 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3336
Practice Address - Country:US
Practice Address - Phone:859-361-9624
Practice Address - Fax:513-351-2481
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)