S Kathleen Clark in Murfreesboro - Dermatology

S Kathleen Clark - NPI 1174608137

S Kathleen Clark is a Dermatology in Murfreesboro, Tennessee. S Kathleen Clark practices all healthcare services and medical treatments related to Dermatology. The NPI Number for S Kathleen Clark is 1174608137. The last update date is 2019-01-22.

S Kathleen Clark's current location address is 135 Cherry Ln, Murfreesboro, Tennessee. You can contact this provider via phone number 6158962617. The mailing address for S Kathleen Clark is 135 Cherry Ln, Murfreesboro, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name S Kathleen Clark
Address 135 Cherry Ln, Murfreesboro, Tennessee
Phone Number 6158962617
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1174608137
Provider Enumeration Date 2006-10-26
Last Updated Date 2019-01-22

Provider Mailing Address Detail

Address 135 Cherry Ln
City Murfreesboro
State Tennessee (TN)
Post Code 371303935
Phone Number 6158962617
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No MD0000015766
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18534 TN TENNESSEE BLUE CROSS BLUE
3032646 TN --
110025193 TN RAILROAD MEDICARE

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FAQs about S Kathleen Clark

What is the unique identifier code issued to S Kathleen Clark by the Centers for Medicare & Medicaid Services (CMS)?

The S Kathleen Clark has been assigned the NPI (National Provider Identifier) 1174608137. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of S Kathleen Clark?

The S Kathleen Clark is physically situated at 135 Cherry Ln, in the city of Murfreesboro, state of TN, with the postal code 371303935.

What is the area of specialization for S Kathleen Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for S Kathleen Clark is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.

When was the S Kathleen Clark's information last updated?

The S Kathleen Clark's information was last updated on 2019-01-22.

When was the information pertaining to S Kathleen Clark most recently updated or revised?

The details related to S Kathleen Clark, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-22.

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