Individual
MRS. EVAN LEIGH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
546 LONE OAK RD, PADUCAH, KY 42003-4526
(270) 441-4850
Mailing address
291 KENNETH LN, HICKORY, KY 42051-9558
(270) 705-4684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009995
KY
Other
Enumeration date
01/15/2016
Last updated
06/16/2020
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