Kathy Ann Clark in Canal Winchester - Licensed Practical Nurse
Kathy Ann Clark - NPI 1306062435
Kathy Ann Clark is a Licensed Practical Nurse in Canal Winchester, Ohio. Kathy Ann Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kathy Ann Clark is 1306062435. The last update date is 2007-07-09.
Kathy Ann Clark's current location address is 7772 Williamson Ln, Canal Winchester, Ohio. You can contact this provider via phone number 6148378350. The mailing address for Kathy Ann Clark is 7772 Williamson Ln, Canal Winchester, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Ann Clark |
|---|---|
| Address | 7772 Williamson Ln, Canal Winchester, Ohio |
| Phone Number | 6148378350 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1306062435 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7772 Williamson Ln |
|---|---|
| City | Canal Winchester |
| State | Ohio (OH) |
| Post Code | 431108524 |
| Phone Number | 6148378350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN.065411 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2117533 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathy Ann Clark?
The Kathy Ann Clark has been issued the NPI (National Provider Identifier) 1306062435 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 Kathy Ann Clark is located?
The Kathy Ann Clark is situated at the following address: 7772 Williamson Ln, Canal Winchester, OH, 431108524.
What is the area of specialization for Kathy Ann Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathy Ann Clark is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306062435 to Kathy Ann Clark?
The Kathy Ann Clark received its 1306062435 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information related to Kathy Ann Clark most recently updated or refreshed?
The details pertaining to the Kathy Ann Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY