Individual
IAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2200 E PARRISH AVE STE 101C, OWENSBORO, KY 42303-1450
(270) 688-1650
(270) 688-1651
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3443
KY
Other
Enumeration date
03/28/2024
Last updated
09/17/2025
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