Individual
KERRY S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
200 CARRAWAY DR STE B1, WINFIELD, AL 35594-5073
(205) 487-7888
(205) 487-7892
Mailing address
5947 HIGHWAY 269, PARRISH, AL 35580-3847
(205) 686-5113
(205) 265-2994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113412
AL
Other
Enumeration date
03/12/2020
Last updated
05/05/2023
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