Karen Clark in Burlington - Anesthesiologist Assistant
Karen Clark - NPI 1659314631
Karen Clark is a Anesthesiologist Assistant in Burlington, Vermont. Karen Clark practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Karen Clark is 1659314631. The last update date is 2020-07-08.
Karen Clark's current location address is 111 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8028472415 and fax number 8028475324. The mailing address for Karen Clark is 111 Colchester Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Clark |
|---|---|
| Address | 111 Colchester Ave, Burlington, Vermont |
| Phone Number | 8028472415 |
| Fax Number | 8028475324 |
| Sole Proprietor | N |
| Credentials | CAA |
NPI Number Detail
| NPI Number | 1659314631 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2020-07-08 |
Provider Mailing Address Detail
| Address | 111 Colchester Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011473 |
| Phone Number | 8028472415 |
| Fax Number | 8028475324 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 135-0000005 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1012091 | VT | -- |
Post Comment/ Review Below
What is the Karen Clark's unique identification number?
The Karen Clark has been assigned the NPI (National Provider Identifier) Number 1659314631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Karen Clark is physically located?
The Karen Clark is situated at the following address: 111 Colchester Ave, Burlington, VT 54011473.
What is the Karen Clark's area of specialization and corresponding taxonomy classification?
The Karen Clark's specialty field is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Karen Clark receive its 1659314631 assignment from the Centers for Medicare & Medicaid Services?
The Karen Clark was assigned its 1659314631 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information related to Karen Clark most recently updated or refreshed?
The details pertaining to the Karen Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL