Individual
KAREN A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3330 JOY LAKE RD, RENO, NV 89511-8789
(775) 223-1775
Mailing address
3330 JOY LAKE RD, RENO, NV 89511-8789
(775) 223-1775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21088
OK
207RC0000X
Cardiovascular Disease Physician
Primary
21088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102100A
—
OK
Enumeration date
01/25/2006
Last updated
06/28/2024
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