# DR. ANN L CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487748968
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 28017 | KY | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 04/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000759531 | ANTHEM- NMFM SPEC. | KY |
| 05 | — | 200036070 | — | IN |
| 05 | — | 64036437 | — | KY |
| 01 | — | K030861 | MEDICARE- NMFM SPEC. | KY |