Individual
KATELYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(434) 592-6400
Mailing address
692 DOMINION VALLEY LN, STUART, VA 24171-5015
(276) 692-5168
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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