Kathleen Clark in Key Colony Beach - Psychiatric/mental Health, Adult
Kathleen Clark - NPI 1518151489
Kathleen Clark is a Psychiatric/mental Health, Adult in Key Colony Beach, Florida. Kathleen Clark practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Kathleen Clark is 1518151489. The last update date is 2007-09-04.
Kathleen Clark's current location address is Po Box 510795, Key Colony Beach, Florida. You can contact this provider via phone number 3057434111. The mailing address for Kathleen Clark is Po Box 510795, Key Colony Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Clark |
|---|---|
| Address | Po Box 510795, Key Colony Beach, Florida |
| Phone Number | 3057434111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518151489 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | Po Box 510795 |
|---|---|
| City | Key Colony Beach |
| State | Florida (FL) |
| Post Code | 330510795 |
| Phone Number | 3057434111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | RN 3079402 |
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Definition: A psychiatric nurse who cares for adult patients. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen Clark by the Centers for Medicare & Medicaid Services?
The Kathleen Clark has been issued the NPI (National Provider Identifier) 1518151489, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kathleen Clark is physically located?
The Kathleen Clark is situated at the following address: Po Box 510795, Key Colony Beach, FL 330510795.
What is Kathleen Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathleen Clark's area of specialization is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0809X.
On what date did the Kathleen Clark receive the assignment of its 1518151489 from the Centers for Medicare & Medicaid Services?
The Kathleen Clark was issued its 1518151489 by the Centers for Medicare & Medicaid Services on 2007-09-04.
As of what date was the information regarding Kathleen Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-04.