Individual
KATHRYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4300 ALLEN RD STE 300, STOW, OH 44224-1032
(330) 945-3179
Mailing address
4300 ALLEN RD STE 300, STOW, OH 44224-1032
(330) 945-3179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015730
OH
Other
Enumeration date
03/19/2019
Last updated
08/04/2022
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