Kathryn S Clark is a Family in Springfield, Missouri. Kathryn S Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Kathryn S Clark is 1871609495. The last update date is 2013-05-16.
Kathryn S Clark's current location address is 1235 E Cherokee St, Springfield, Missouri. You can contact this provider via phone number 4178202000. The mailing address for Kathryn S Clark is 1235 E Cherokee St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn S Clark |
|---|---|
| Address | 1235 E Cherokee St, Springfield, Missouri |
| Phone Number | 4178202000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1871609495 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2013-05-16 |
Provider Mailing Address Detail
| Address | 1235 E Cherokee St |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658042203 |
| Phone Number | 4178202000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 113954 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 427479605 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathryn S Clark by the Centers for Medicare & Medicaid Services?
The Kathryn S Clark has been issued the NPI (National Provider Identifier) 1871609495, which 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 Kathryn S Clark?
The Kathryn S Clark is situated at 1235 E Cherokee St, in the city of Springfield, state of MO, with the zip code 658042203.
What is Kathryn S Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathryn S Clark's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date was the 1871609495 assigned to Kathryn S Clark?
The Kathryn S Clark was issued its 1871609495 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kathryn S Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathryn S Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-16.
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