Katherine G Clark in Charleston - Registered Nurse
Katherine G Clark - NPI 1114051745
Katherine G Clark is a Registered Nurse in Charleston, South Carolina. Katherine G Clark practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Katherine G Clark is 1114051745. The last update date is 2007-07-08.
Katherine G Clark's current location address is 5 Charleston Center Dr, Charleston, South Carolina. You can contact this provider via phone number 8439583530. The mailing address for Katherine G Clark is 5 Charleston Center Dr, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine G Clark |
|---|---|
| Address | 5 Charleston Center Dr, Charleston, South Carolina |
| Phone Number | 8439583530 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1114051745 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Charleston Center Dr |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294011162 |
| Phone Number | 8439583530 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN-68460 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190166 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Katherine G Clark by the Centers for Medicare & Medicaid Services?
The Katherine G Clark has been issued the NPI (National Provider Identifier) 1114051745. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Katherine G Clark?
The Katherine G Clark is situated at 5 Charleston Center Dr, in the city of Charleston, state of SC, with the zip code 294011162.
What is Katherine G Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Katherine G Clark is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.
On what date did the Katherine G Clark receive its 1114051745 assignment from the Centers for Medicare & Medicaid Services?
The Katherine G Clark was assigned its 1114051745 by the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the Katherine G Clark's information last updated?
The Katherine G Clark's information was last updated on 2007-07-08.