Individual
KERI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 PARK CENTRAL DR STE 301, HIGHLANDS RANCH, CO 80129-6694
(303) 265-3940
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0006847
CO
Other
Enumeration date
05/24/2021
Last updated
07/13/2022
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