Individual
KATIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3408 BARDSTOWN RD, LOUISVILLE, KY 40218-4608
(502) 912-9884
Mailing address
8639 COUNTY ROAD 16 SE, DELANO, MN 55328-8134
(612) 709-8661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3740
MN
Other
Enumeration date
06/29/2021
Last updated
01/29/2026
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