Kathleen M Clark is a Neurology in Hartland, Maine. Kathleen M Clark practices all healthcare services and medical treatments related to Neurology. The NPI Number for Kathleen M Clark is 1043204993. The last update date is 2007-07-08.
Kathleen M Clark's current location address is 209 Commercial St, Hartland, Maine. You can contact this provider via phone number 2079384880 and fax number 2079384880. The mailing address for Kathleen M Clark is 209 Commercial St, Hartland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Clark |
|---|---|
| Address | 209 Commercial St, Hartland, Maine |
| Phone Number | 2079384880 |
| Fax Number | 2079384880 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1043204993 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 209 Commercial St |
|---|---|
| City | Hartland |
| State | Maine (ME) |
| Post Code | 49433710 |
| Phone Number | 2079384880 |
| Fax Number | 2079384880 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | CR567 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15106 | ME | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathleen M Clark?
The Kathleen M Clark has been issued the NPI (National Provider Identifier) 1043204993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kathleen M Clark is located?
The Kathleen M Clark is situated at the following address: 209 Commercial St, Hartland, ME, 49433710.
What is Kathleen M Clark's area of expertise and its corresponding taxonomy classification?
The Kathleen M Clark's field of specialization is Neurology, and it falls under the taxonomy code 111Nn0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Kathleen M Clark receive its 1043204993 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen M Clark was assigned its 1043204993 on 2005-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kathleen M Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen M Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN