Organization
CLARK MEDICAL VENTURES, LLC
Active
Other names
Clark Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY UNDERWOOD (CREDENTIALING AGENT)
(859) 303-8746
Entity
Organization
Contact information
Practice address
174 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 355-5653
Mailing address
1031 WELLINGTON WAY STE 240, LEXINGTON, KY 40513-1257
(859) 303-8746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
KY
1041C0700X
Clinical Social Worker
—
KY
207P00000X
Emergency Medicine Physician
—
KY
207Q00000X
Family Medicine Physician
—
KY
207R00000X
Internal Medicine Physician
—
KY
261QR1300X
Rural Health Clinic/Center
Primary
900176
KY
363L00000X
Nurse Practitioner
—
KY
363LA2100X
Acute Care Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
363LP0200X
Pediatric Nurse Practitioner
—
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
KY
363LW0102X
Women's Health Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100303720
—
KY
Enumeration date
06/28/2013
Last updated
09/02/2021
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