Individual
KARLA G CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,LD
Contact information
Practice address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
Mailing address
65 ESTATES DR, GILBERTSVILLE, KY 42044-8697
(270) 703-9839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006659
IL
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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