Kristin Clark in Ellicott City - Family Medicine
Kristin Clark - NPI 1932177508
Kristin Clark is a Family Medicine in Ellicott City, Maryland. Kristin Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristin Clark is 1932177508. The last update date is 2012-03-30.
Kristin Clark's current location address is 5018 Dorsey Hall Dr, Ellicott City, Maryland. You can contact this provider via phone number 4107308288 and fax number 8882359533. The mailing address for Kristin Clark is 5018 Dorsey Hall Dr, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Clark |
|---|---|
| Address | 5018 Dorsey Hall Dr, Ellicott City, Maryland |
| Phone Number | 4107308288 |
| Fax Number | 8882359533 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932177508 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2012-03-30 |
Provider Mailing Address Detail
| Address | 5018 Dorsey Hall Dr |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210427855 |
| Phone Number | 4107308288 |
| Fax Number | 8882359533 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | D0053966 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Kristin Clark's unique identification number?
The Kristin Clark has been assigned the NPI (National Provider Identifier) Number 1932177508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kristin Clark's facilities are geographically located?
The facilities of Kristin Clark are physically situated at the following location: 5018 Dorsey Hall Dr, Ellicott City, MD, 210427855.
What is Kristin Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristin Clark is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Kristin Clark receive the assignment of its 1932177508 from the Centers for Medicare & Medicaid Services?
The Kristin Clark was issued its 1932177508 by the Centers for Medicare & Medicaid Services on 2006-03-09.
As of what date was the information regarding Kristin Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristin Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-30.
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