Individual
DR. PAUL RICHARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHD, MA, FAEN
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(210) 789-6031
Mailing address
101 SAINT ANTHONY DR, MOUNT SAINT FRANCIS, IN 47146-9001
(210) 789-6031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28193134A
IN
Other
Enumeration date
09/15/2023
Last updated
10/04/2023
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