# KATHLEEN LINTON CLARK

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

## Provider details

- **NPI number:** 1912236209
- **Gender:** F
- **Credential:** APRN-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN241302 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | RN241302 | GA | — |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 05/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003188941A | — | GA |