Individual
KATHERINE MARY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8913 TOWN AND COUNTRY CIR # 1013, KNOXVILLE, TN 37923-4931
(253) 861-0739
Mailing address
8913 TOWN AND COUNTRY CIR # 1013, KNOXVILLE, TN 37923-4931
(253) 861-0739
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29557
TN
367500000X
Certified Registered Nurse Anesthetist
60722768
WA
Other
Enumeration date
02/09/2017
Last updated
05/25/2021
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