Individual
KRISTEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 OKATIE CENTER BLVD N STE 240, OKATIE, SC 29909-3782
(843) 832-7925
Mailing address
9 CHESTNUT ST, BEAUFORT, SC 29906-2414
(803) 508-3043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30794
SC
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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